MR. James Timothy Stackhouse, CRNA
NPI #1730177494 in Shiprock, New Mexico
Provider Information
- NPI Number
- 1730177494
- Entity Type
- Individual
- Name
- MR. James Timothy Stackhouse, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Oct 7, 2005
- Last Updated
- Jan 25, 2011
Practice Location
- Address
- US HWY 491 NORTH
- City
- Shiprock
- State
- New Mexico
- ZIP Code
- 87420
- Phone
- (505) 368-6401
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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