Organization
JASON DUPRAT CRNA P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON DUPRAT CRNA (PRESIDENT)
(716) 984-4103
Entity
Organization
Contact information
Practice address
6500 JEFFERSON ST NE STE 250, ALBUQUERQUE, NM 87109-3490
(505) 702-8020
Mailing address
10 PLAZA OLAS ALTOS NE, ALBUQUERQUE, NM 87109-3633
(716) 984-4103
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CRNA01398
NEW MEXICO
NM
Enumeration date
06/02/2017
Last updated
06/02/2017
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