Individual
PETER ANDERS
Active
Individual
PETER ANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
279983-4406
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107004000103
IHC
UT
01
—
674382
DMBA
UT
01
—
72741
PEHP
UT
01
—
870372827PAN
EDUCATORS
UT
01
—
88075
PEHP
UT
01
—
PRA07350
MOLINA
UT
01
—
QM0000076551
ALTIUS
UT
Enumeration date
07/10/2006
Last updated
07/08/2007
Update your record
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