| NPI | 1124710207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE C SMITH Partner Authorized Offical 801-698-4825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-07-19 |