Individual
MR. BRYCE ROBERT DOUGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
300 N HOSPITAL DR, PRICE, UT 84501-4218
(435) 637-4800
Mailing address
300 N HOSPITAL DR, PRICE, UT 84501-4218
(435) 637-4800
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5347750-3102
UT
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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