JOHN A PRU

ALTA, WY
NPI1093771503
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WY  6780.0512)
Enumeration Date2006-04-24
Last Update Date2007-07-08
Business Address
-- JOHN A PRU CRNA
80 PERIMETER DRIVE
ALTA, WY 83414
Phone number: 307-421-3396
Mailing Address
-- JOHN A PRU CRNA
PO BOX 563
ALTA, WY 83414
Phone number: 307-421-3396