Individual
JOHNATHAN MOUGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
350 N WILMOT RD, TUCSON, AZ 85711-2602
(520) 873-3000
Mailing address
4180 W GOLDER STAR PL, TUCSON, AZ 85745-4116
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN205860
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
294669
AZ
Other
Enumeration date
08/17/2020
Last updated
07/24/2023
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