BRENT MICHAEL SUTHERLAND

IDAHO FALLS, ID
NPI1205842358
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  C146478)
Enumeration Date2006-07-31
Last Update Date2007-07-08
Business Address
-- BRENT MICHAEL SUTHERLAND CRNA
2532 CORONADO
IDAHO FALLS, ID 83404
Phone number: 208-557-2700
Mailing Address
-- BRENT MICHAEL SUTHERLAND CRNA
PO BOX 210
ROY, UT 84067-0210
Phone number: 801-825-4700
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