Individual
MATTHEW P GUERCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1200 E 3900 S, SALT LAKE CITY, UT 84124-1300
(801) 261-8272
(801) 261-8389
Mailing address
1954 FT UNION BLVD, SUITE 107, SALT LAKE CITY, UT 84121-6800
(801) 993-9527
(801) 733-5618
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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