BERT S HOLLIS

SPRINGFIELD, MO
NPI1861539710
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  075285)
Enumeration Date2007-01-31
Last Update Date2008-07-11
Business Address
-- BERT S HOLLIS CRNA
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-2829
Mailing Address
-- BERT S HOLLIS CRNA
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone number: 417-829-4620