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Contact Information

MAX H SHURTLIFF, CRNA
3580 W 9000 S
WEST JORDAN, UT84070
 Phone: 801-993-9527
 Fax: 801-733-5872
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for MAX H SHURTLIFF · (Male)

NPI # 1851484489
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 10/02/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 212191-4406
  • UT Other QMXAF01875 ALTIUS
  • UT Other 293654 DMBA
  • UT Other 870542403SH1 EDUCATORS MUTUAL
  • UT Other 102600 GEM
  • UT Other 107001189102 IHC
  • UT Other PR00993 MOLINA
  • UT Other 39005 PEHP
  • UT Other 870542403 84121 A003 TRICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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