Individual
MICHAEL D CRAGUN
Active
Individual
MICHAEL D CRAGUN
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
284836-4406
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107027335101
IHC
UT
01
—
28483644000001
BCBS
UT
01
—
55469
HEALTHY U
UT
01
—
77633
PEHP
UT
01
—
838734
DESERET MUTUAL
UT
01
—
870666269MCR
EDUCATORS MUTUAL
UT
01
—
QM0000054865
ALTIUS
UT
01
—
TPRA10379
MOLINA
UT
Enumeration date
09/16/2006
Last updated
07/23/2009
Update your record
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