NPI Lookup
NPPES Search
Providers by State
Blog
Home
1093771503
JOHN A PRU
ALTA, WY
NPI
1093771503
Copy
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WY 6780.0512)
Enumeration Date
2006-04-24
Last Update Date
2007-07-08
Business Address
-- JOHN A PRU CRNA
80 PERIMETER DRIVE
ALTA, WY 83414
Phone number: 307-421-3396
Copy
Mailing Address
-- JOHN A PRU CRNA
PO BOX 563
ALTA, WY 83414
Phone number: 307-421-3396
Copy