Individual
MATTHEW J GURTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-3000
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0144
AZ
367500000X
Certified Registered Nurse Anesthetist
RN088572
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
564387
—
AZ
01
—
86080015085259A967
TRIWEST
AZ
Enumeration date
12/06/2005
Last updated
11/12/2024
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