Individual
JOHN SANDY STUTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
875 S DOBSON RD, CHANDLER, AZ 85224-5710
(480) 855-2036
(480) 855-2026
Mailing address
1480 MOUNTAIN RD, CLARKDALE, AZ 86324-3283
(602) 510-2532
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN095750
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0455
AZ STATE CRNA LICENSE
AZ
Enumeration date
02/01/2013
Last updated
02/01/2013
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