Todd Matthew McClew, CRNA
Nurse Anesthetist, Certified Registered in O Fallon, IL. Individual provider (NPI-1).
NPI number1790764686
StatusActive
Last updated in NPPESJan 6, 2022
Details
- NPI
- 1790764686
- Entity type
- Individual (NPI-1)
- Name
- Todd Matthew McClew
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2006
- Certification date
- Jan 6, 2022
- Last updated
- Jan 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209002590 | IL | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | 132185 | MO |
Practice location
1 Saint Elizabeth Blvd Ste 104O Fallon, IL 62269-1099
Phone 618-234-2120
Mailing address
1 Saint Elizabeth Blvd Ste 104O Fallon, IL 62269-1099
Phone 618-234-2120
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Other Certified Registered Nurse Anesthetist providers in O Fallon, IL
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- Leah Marie Baecht, DNP, CRNA, APRNNPI 1275831273
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- Tonya Lee Carrizales, CRNANPI 1720225204
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- Austin CookNPI 1609468891
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- Courtney J Harris, CRNANPI 1235764218
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All 18 Certified Registered Nurse Anesthetist providers in O Fallon · All 1,289 providers in O Fallon
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