MR. Chris Chadwick Fugate, CRNA

NPI #1174693543 in Rexburg, Idaho

Provider Information

NPI Number
1174693543
Entity Type
Individual
Name
MR. Chris Chadwick Fugate, CRNA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Nov 9, 2006
Last Updated
Nov 10, 2020

Practice Location

Address
256 N 2ND E
State
Idaho
ZIP Code
83440-1638
Phone
(208) 656-9646

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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