Individual
DAVID GRIFFIN BRIEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 983-3361
Mailing address
793 N 390 E, AMERICAN FORK, UT 84003-1370
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
125886
NM
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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