Shane D Faltys, CRNA
NPI #1164640926 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1164640926
- Entity Type
- Individual
- Name
- Shane D Faltys, CRNA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Apr 24, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2620 N WESTWOOD BLVD
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-3396
- Phone
- (573) 718-2710
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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