Individual
MR. CRAIG K SUDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4026 JERRY MURPHY RD, PUEBLO, CO 81001-1045
(719) 630-3937
(719) 635-3578
Mailing address
PO BOX 3750, SALT LAKE CITY, UT 84110-3750
(800) 880-3566
(770) 701-6675
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.004185-CRNA
CO
367500000X
Certified Registered Nurse Anesthetist
RN-165502
CO
Other
Enumeration date
03/09/2006
Last updated
10/23/2019
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