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NPI Code Detail

MEDICARE: RODNEY HOOVER CRNA

MEDICARE: RODNEY HOOVER 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 Anesthetist063789MO

General Provider Information

NPI Number : 1760467807
Entity Type Code : Individual
Provider Name (Legal Business Name) : RODNEY HOOVER CRNA
Provider Business Mailing Address
First Line : 1500 N OAKLAND AVE
Second Line :
City : BOLIVAR
State : MO
Zip : 65613-3011
Country : US
Telephone Number : 660-826-5960
Fax Number : 660-826-4852
Provider Business Practice Location Address
First Line : 1500 N OAKLAND AVE
Second Line :
City : BOLIVAR
State : MO
Zip : 65613-3011
Country : US
Telephone Number : 660-826-5960
Fax Number : 660-826-4852
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 07/08/2007

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Directions to “ RODNEY HOOVER CRNA” Practice Location

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