Individual
WAYNE LEWIS STUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1303 N MAIN ST, CEDAR CITY, UT 84720-9746
(801) 993-9501
(801) 733-5872
Mailing address
2282 W HOLLY CIR, CEDAR CITY, UT 84720-1836
(435) 865-7444
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
204574-4406
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107006673103
IHC
UT
01
—
2090117
UNITED HEALTHCARE
UT
01
—
262975
DESERET MUTUAL
UT
01
—
56720
HEALTHY U
UT
05
—
796237
—
AZ
01
—
80055
PEHP
UT
01
—
870551530ST1
EDUCATORS MUTUAL
UT
01
—
PR04686
MOLINA
UT
Enumeration date
08/19/2006
Last updated
07/08/2007
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