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Organization
LONE PEAK ANESTHESIA LC
Active
Organization
LONE PEAK ANESTHESIA LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J. TODD NILSON MD (PRESIDENT)
(800) 594-5736
Entity
Organization
Contact information
Practice address
150 W CIVIC CENTER DR, SUITE 200, SANDY, UT 84070-4230
(801) 432-2677
(678) 285-6777
Mailing address
PO BOX 3810, SALT LAKE CITY, UT 84110-3810
(800) 594-5736
(678) 285-6777
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/03/2006
Last updated
01/27/2016
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