| NPI | 1972825370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL B TANNER President 801-726-1340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 2043774406) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2010-11-10 |