NPI

John Bollenbacher

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
CRNA
Type
Individual
Enumeration date
2006-01-11
Last updated
2008-04-04

Specialties

Licenses

License MO
086417

Location

Practice location
219 Physicians Park
City
Poplar Bluff MO
Postal code
63901-3956
Phone
(573) 686-5550

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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