Individual
JASON CRAIG UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 S 20TH AVE, SAFFORD, AZ 85546-4011
(928) 348-4021
Mailing address
670 W 24TH ST, SAFFORD, AZ 85546-2284
(928) 348-9740
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0390
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096768
—
AZ
Enumeration date
07/11/2006
Last updated
10/08/2021
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