GARY A WISCOMBE

SANDY, UT
NPI1790881761
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: UT  0225185-4406)
Enumeration Date2006-09-16
Last Update Date2007-07-08
Business Address
-- GARY A WISCOMBE CRNA
10011 CENTENNIAL PKWY
SANDY, UT 84070-4156
Phone number: 801-993-9527
Mailing Address
-- GARY A WISCOMBE CRNA
1727 RED BARN RD
SPRINGVILLE, UT 84663-3231
Phone number: 801-491-9337
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