Individual
NEIL PITERO BARRANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
516 E NIZHONI BLVD, OPERATING ROOM, GALLUP, NM 87301-8730
(505) 722-1000
Mailing address
311 E GREEN AVE, GALLUP, NM 87301-6192
(703) 944-6965
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
134193
VA
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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