IPS OF UTAH LLC

DRAPER, UT
NPI1568690998
Entity TypeOrganization
Authorized ContactCARL R, NOBACK
Member
941-360-1566
Organization Subpart ?No
Primary Taxonomy207L00000X Anesthesiology
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
Enumeration Date2009-06-24
Last Update Date2009-06-24
Business Address
IPS OF UTAH LLC
11800 S. STATE ST
DRAPER, UT 84020
Phone number: 801-316-1313
Mailing Address
IPS OF UTAH LLC
PO BOX 864483
ORLANDO, FL 32886-4483
Phone number: