JACOB BUCKWAY

OGDEN, UT
NPI1346908464
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: UT  94443013102)
Enumeration Date2021-12-06
Last Update Date2021-12-06
Business Address
JACOB BUCKWAY CRNA
5475 S 500 E
OGDEN, UT 84405-6905
Phone number: 801-479-2111
Mailing Address
JACOB BUCKWAY CRNA
1059 N 175 E
LAYTON, UT 84041-2477
Phone number: 801-719-0045
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