Organization
HAMMERHEAD ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WERMUTH CRNA (OWNER)
(928) 537-4709
Entity
Organization
Contact information
Practice address
2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7881
(928) 537-4375
(928) 537-2466
Mailing address
PO BOX 3703, PINETOP, AZ 85935-3703
(928) 537-4709
(928) 537-2466
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/06/2006
Last updated
08/22/2020
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