MICHAEL R MOULTON

SEDALIA, MO
NPI1427085802
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  090505)
Enumeration Date2006-06-28
Last Update Date2007-11-05
Business Address
-- MICHAEL R MOULTON CRNA
601 E 14TH ST
SEDALIA, MO 65301-5972
Phone number: 816-461-8288
Mailing Address
-- MICHAEL R MOULTON CRNA
PO BOX 1660
INDEPENDENCE, MO 64055-0660
Phone number: 816-461-8288
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