Individual
JOHN K PRESCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
750 HOSPITAL LOOP, CRAIG, CO 81625-8750
(970) 824-1088
Mailing address
PO BOX 1648, CRAIG, CO 81626-1648
(918) 850-5607
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1592685
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010672601002
BCBSOK
OK
05
—
22978241
—
CO
Enumeration date
07/19/2006
Last updated
11/06/2017
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