Individual
DANIEL ROUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
450 WILLIAMS WAY, MOAB, UT 84532-2065
(435) 719-3508
(435) 719-3509
Mailing address
PO BOX 998, MOAB, UT 84532-0998
(435) 719-3508
(435) 719-3509
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
184123
CO
Other
Enumeration date
01/17/2008
Last updated
01/25/2012
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