Individual
CRAIG HITCHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
48 W 1500 N, NEPHI, UT 84648-8900
(435) 623-3000
Mailing address
PO BOX 3810, SALT LAKE CITY, UT 84110-3810
(005) 946-3998
(801) 676-5961
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2123774406
UT
Other
Enumeration date
08/08/2006
Last updated
01/03/2019
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