Quentin Sukut CRNA

NPI 1902197379 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1902197379
Gender Male
Enumeration Date 04/20/2011
Last Updated 04/20/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
700 NE 13TH ST
OKLAHOMA CITY OK, 73104-5004, US
Phone (405) 271-4351
Fax
Business Location
548 FIELD VIEW DR
RAPID CITY SD, 57701-8338, US
Phone (605) 484-8762
Fax
Toxanomy
Taxonomy Code 367500000X
License State South Dakota
License Number 086329
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According to our database, Mr. Quentin Sukut CRNA NPI is 1902197379, taxonomy code is 367500000X and license number is 086329, license state is located at South Dakota. Quentin Sukut CRNA physically located at 700 Ne 13th St, Oklahoma City OK, 73104-5004. NPI Number Quentin Sukut CRNA has the Individual type.

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1902197379 NPI number is provided on an as is basis without warranty of any kind. 1902197379 is maintained by the National Plan & Provider Enumeration System. The contents of Quentin Sukut CRNA are for informational purposes only.