Unknown Individual – Anesthesiology Physician, NPI 1396841946
Anesthesiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
4874 CHARLAIS LN
PARK CITY, UT 840987557
Phone: (435) 615-1874
Type: Mailing
Randall's Market, 3235 W, Cody Brotherson Parkway, West Valley City, Salt Lake County, Utah, 84119, United States
WEST VALLEY CITY, UT 841205537
Phone: (801) 993-9526
Fax: (801) 733-5872
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84098)
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