Organization
SUDERMAN ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG K SUDERMAN CRNA (PRESIDENT)
(800) 880-3566
Entity
Organization
Contact information
Practice address
4026 JERRY MURPHY RD, PUEBLO, CO 81001-1045
(719) 630-3937
(719) 635-3578
Mailing address
PO BOX 3750, SALT LAKE CITY, UT 84110-3750
(800) 880-3566
(770) 701-6676
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/26/2013
Last updated
10/25/2019
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