RUSSELL G WORTHEN

PAYSON, UT
NPI1760586234
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: UT  361659-4406)
Enumeration Date2006-09-12
Last Update Date2007-07-08
Business Address
-- RUSSELL G WORTHEN CRNA
1000 E 100 N
PAYSON, UT 84651-1600
Phone number: 800-748-4868
Mailing Address
-- RUSSELL G WORTHEN CRNA
383 W 1600 S
PAYSON, UT 84651-8614
Phone number: 801-465-2424
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