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Individual

BRETT A SKATTUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5141
(575) 522-8641
Mailing address
2735 CLAPTON DR, COLORADO SPRINGS, CO 80920-7240
(719) 238-5226

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA-01472
NM

Other

Enumeration date
02/08/2017
Last updated
11/05/2021
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