Individual
MR. RICHARD GARY WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
151 E 1600 S, MAPLETON, UT 84664-5202
(801) 491-6315
(801) 465-7122
Mailing address
151 E 1600 S, MAPLETON, UT 84664-5202
(801) 491-6315
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
308580-4406
UT
367500000X
Certified Registered Nurse Anesthetist
CRNA000370
NV
367500000X
Certified Registered Nurse Anesthetist
RNA-846A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023113545
—
ID
05
—
2246747
—
WA
05
—
D4599
—
UT
Enumeration date
09/13/2006
Last updated
04/29/2024
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