Organization
FREDERICK S UTTER MHS CRNA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK STUART UTTER CRNA (OWNER)
(915) 494-8779
Entity
Organization
Contact information
Practice address
1900 DENVER AVE, EL PASO, TX 79902-3008
(915) 407-6035
Mailing address
9895 ALAMEDA AVE STE 108, SOCORRO, TX 79927-2976
(915) 772-4551
(915) 232-9920
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283576101
—
TX
05
—
78621348
—
NM
Enumeration date
12/09/2010
Last updated
12/16/2022
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