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1649244161
MARK F GORTMAKER
COLUMBIA, MO
NPI
1649244161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 2004016548)
Enumeration Date
2006-02-13
Last Update Date
2023-08-14
Business Address
MARK F GORTMAKER CRNA
ONE HOSPITAL DR
COLUMBIA, MO 65212-0001
Phone number: 573-882-2568
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Mailing Address
MARK F GORTMAKER CRNA
PO BOX 843966
KANSAS CITY, MO 64184-3966
Phone number: 573-884-3300
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