NPI | 1972248557 |
---|---|
Doing Business As | SUMMIT ANESTHESIA |
Entity Type | Organization |
Authorized Contact | MITCHELL DOUGLAS DUCKWORTH Owner 801-631-1312 |
Organization Subpart ? | No |
Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality |
Enumeration Date | 2022-04-28 |
Last Update Date | 2022-04-28 |