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Individual

JAMES STIMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3765 S 3650 W, WEST HAVEN, UT 84401-9373
(801) 791-9566
Mailing address
3765 S 3650 W, WEST HAVEN, UT 84401-9373
(801) 731-0173

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4758542-4406
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
190246100
DEPT OF LABOR
UT
01
218518
ALTIUS
UT
01
49108
HEALTHY U
UT
01
68295
PEHP
UT
Enumeration date
08/16/2006
Last updated
10/20/2009
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