PETER GILBERT BRAINARD

FLAGSTAFF, AZ
NPI1770846669
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ  Tcrna0880)
Enumeration Date2012-06-17
Last Update Date2017-06-16
Business Address
-- PETER GILBERT BRAINARD CRNA
77 W FOREST AVE STE 207
FLAGSTAFF, AZ 86001-1483
Phone number: 928-773-2505
Mailing Address
-- PETER GILBERT BRAINARD CRNA
PO BOX 27568
SALT LAKE CITY, UT 84127-0568
Phone number: 928-773-2505
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