Individual
PRESTON PETERSON BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
170 N 1100 E, AMERICAN FORK, UT 84003-2096
(801) 492-1611
Mailing address
PO BOX 94645, SEATTLE, WA 98124-6945
(509) 474-6842
(509) 474-6606
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
6445536-4406
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60404208
WA
Other
Enumeration date
08/21/2013
Last updated
11/04/2020
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