Organization
ANESTHESIA AND PAIN MANAGEMENT SERVICE OF PUEBLO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT BUTNER CRNA (CRNA)
(970) 261-5183
Entity
Organization
Contact information
Practice address
1800 FORTINO BLVD, SUITE 2, PUEBLO, CO 81008-1890
(719) 543-7877
Mailing address
1800 FORTINO BLVD, SUITE 2, PUEBLO, CO 81008-1890
(719) 543-7877
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0992033-CRNA
CO
Other
Enumeration date
10/26/2015
Last updated
10/27/2015
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