Individual
MR. JACOB DAVID VEATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3112 E GABLE CIR, MESA, AZ 85204-6321
(480) 650-1537
Mailing address
3112 E GABLE CIR, MESA, AZ 85204-6321
(480) 650-1537
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN177862
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
268565
AZ
Other
Enumeration date
08/20/2021
Last updated
01/24/2022
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