JOHN T IKENROTH

SPRINGFIELD, MO
NPI1407378839
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  2017020859)
Enumeration Date2017-07-07
Last Update Date2022-07-21
Business Address
JOHN T IKENROTH CRNA
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-2829
Mailing Address
JOHN T IKENROTH CRNA
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-2829
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