DAVID MARKUS GOODRICH

PUEBLO, CO
NPI1902989544
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  APN12279)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  RN99907)
Enumeration Date2006-10-24
Last Update Date2011-06-09
Business Address
DAVID MARKUS GOODRICH CRNA
1218 N MAIN ST
PUEBLO, CO 81003-2828
Phone number: 719-543-7877
Mailing Address
DAVID MARKUS GOODRICH CRNA
1218 N MAIN ST
PUEBLO, CO 81003-2828
Phone number: 719-543-7877