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NPI Code Detail

MEDICARE: DAVID SCHMITT CRNA

MEDICARE: DAVID SCHMITT CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist066039MO

General Provider Information

NPI Number : 1174504054
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID SCHMITT CRNA
Provider Business Mailing Address
First Line : 13523 BARRETT PARKWAY DR
Second Line : SUITE 210
City : BALLWIN
State : MO
Zip : 63021-3802
Country : US
Telephone Number : 314-775-2816
Fax Number : 314-775-2821
Provider Business Practice Location Address
First Line : 2345 DOUGHERTY FERRY RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63122-3313
Country : US
Telephone Number : 314-821-5850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 07/08/2007

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