Jeffrey K Dillard, CRNA
Nurse Anesthetist, Certified Registered in Joplin, MO. Individual provider (NPI-1).
NPI number1760740682
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1760740682
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey K Dillard
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 28, 2012
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2017016494 | MO | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | TMP-144837 | KS |
Practice location
1102 W 32nd StJoplin, MO 64804-3503
Phone 417-347-1078 · Fax 417-347-1079
Mailing address
Po Box 3810Joplin, MO 64803-3810
Phone 417-347-1078 · Fax 417-347-1079
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All 111 Certified Registered Nurse Anesthetist providers in Joplin · All 3,057 providers in Joplin
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