| NPI | 1851764112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAGLEY President 435-671-1254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 120505) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2016-11-16 |