Individual
MR. JAMES DAVID FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3827 S SWEET ESCAPE DR, WASHINGTON, UT 84780-3003
(904) 403-8967
Mailing address
3827 S SWEET ESCAPE DR, WASHINGTON, UT 84780-3003
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
10166914-4406
UT
367500000X
Certified Registered Nurse Anesthetist
ARNP3245982
FL
Other
Enumeration date
11/29/2006
Last updated
01/13/2022
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