EVAN B THEOBALD

PAYSON, UT
NPI1497859037
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: UT  375417-4406)
Enumeration Date2006-09-12
Last Update Date2007-07-08
Business Address
-- EVAN B THEOBALD CRNA
1000 E 100 N
PAYSON, UT 84651-1600
Phone number: 800-748-4868
Mailing Address
-- EVAN B THEOBALD CRNA
32 W 1320 S
PAYSON, UT 84651-3012
Phone number: 801-465-3844
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