| NPI | 1831520881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL G. WORTHEN Owner 435-753-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 361659-4406) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |