Individual
GARY D KLIEWER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
2400 EDISON ST, BRUSH, CO 80723-1642
(970) 842-6200
(970) 842-3572
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
(602) 495-4577
(602) 417-3549
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN70205
CO
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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