Evelyn C. Loose
Anesthesiology in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1124103809
StatusActive
Last updated in NPPESNov 18, 2021
Details
- NPI
- 1124103809
- Entity type
- Individual (NPI-1)
- Name
- Evelyn C. Loose
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2006
- Certification date
- Nov 18, 2021
- Last updated
- Nov 18, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ANESTHESIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 376409-1205 | UT | Yes |
Practice location
University Of Utah Health Sciences Ctr50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone 801-581-6393
Mailing address
Po Box 413034Salt Lake City, UT 84141-3034
Phone 801-213-3900
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