Individual
MR. ANDREW BAMBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
328 W 200 S APT 308, SALT LAKE CITY, UT 84101-1232
(435) 790-8412
Mailing address
328 W 200 S APT 308, SALT LAKE CITY, UT 84101-1232
(435) 790-8412
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
6248945
UT
Other
Enumeration date
04/22/2015
Last updated
01/04/2022
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