Brent Michael Sutherland, CRNA

NPI #1205842358 in Idaho Falls, Idaho

Provider Information

NPI Number
1205842358
Entity Type
Individual
Name
Brent Michael Sutherland, CRNA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Jul 31, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2532 CORONADO
State
Idaho
ZIP Code
83404
Phone
(208) 557-2700

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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