Individual
CODY CHARLES RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-1000
Mailing address
2908 W BISON RIDGE RD, SOUTH JORDAN, UT 84095-5067
(801) 707-0037
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
8677271-3102
UT
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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