Individual
MICHAEL J ST.JOHN
Active
Individual
MICHAEL J ST.JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
182483
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA-01195
NM
Other
Enumeration date
02/08/2012
Last updated
05/10/2012
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