Individual
MR. IRENEO TUMALI DE GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
408 WENDELL AVE, LEWISTOWN, MT 59457-2261
(406) 538-7711
Mailing address
619 W PINE ST, LEWISTOWN, MT 59457-3145
(406) 366-0592
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
054510
TX
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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