MR. James David Fountain, CRNA
NPI #1760559314 in Washington, Utah
Provider Information
- NPI Number
- 1760559314
- Entity Type
- Individual
- Name
- MR. James David Fountain, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Nov 29, 2006
- Last Updated
- Jan 13, 2022
Practice Location
- Address
- 3827 S SWEET ESCAPE DR
- City
- Washington
- State
- Utah
- ZIP Code
- 84780-3003
- Phone
- (904) 403-8967
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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