Individual
FRASER MACFARLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9978 N 5680 W, HIGHLAND, UT 84003-3476
(801) 756-3446
Mailing address
9978 N 5680 W, HIGHLAND, UT 84003-3476
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5142893-4406
UT
367500000X
Certified Registered Nurse Anesthetist
55622
KS
367H00000X
Anesthesiologist Assistant
5142893-4406
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146012
BCBS OF KS
KS
05
—
200527930A
—
KS
Enumeration date
10/04/2007
Last updated
06/18/2024
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