Individual
MATTHEW P GUERCIO
Active
Individual
MATTHEW P GUERCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
368932-4406
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198946
ALTIUS
UT
01
—
36893244001001
REGENCE BCBS
UT
05
—
870474993017/D6539
—
UT
01
—
P00668627
RAILROAD MCR
UT
Enumeration date
08/29/2006
Last updated
04/27/2009
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