Organization · NPI-2

Cbt Anesthesia, PC

Nurse Anesthetist, Certified Registered · Ogden, UT

NPI number1972825370
StatusActive
Last updated in NPPESNov 10, 2010

Details

NPI
1972825370
Entity type
Organization (NPI-2)
Legal business name
Cbt Anesthesia, PC
Organization subpart
No
Enumeration date
Feb 25, 2010
Last updated
Nov 10, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered2043774406UTYes

Practice location

4364 Washington Blvd
Ogden, UT 84403-1866

Phone 801-781-4012

Mailing address

4364 Washington Blvd
Ogden, UT 84403-1866

Phone 801-781-4012

Authorized official

Carol B Tanner
President
8017261340

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