GARY T. STURTEVANT

JOPLIN, MO
NPI1649314204
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  2011004383)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: MO  139645)
Enumeration Date2007-02-16
Last Update Date2022-07-21
Business Address
-- GARY T. STURTEVANT CRNA
1102 W 32ND ST
JOPLIN, MO 64804-3503
Phone number: 417-347-1078
Mailing Address
-- GARY T. STURTEVANT CRNA
PO BOX 3810
JOPLIN, MO 64803-3810
Phone number: 417-347-3649