# SALT CREEK ANESTHESIA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477200947
- **Authorized official:** SAMUEL HADLOCK CRNA (CO-OWNER)
- **Authorized official phone:** (801) 380-4164

## Contact information

- **Practice address:** 48 W 1500 N, NEPHI, UT 84648-8900
- **Practice address phone:** (435) 623-3000
- **Mailing address:** PO BOX 139, NEPHI, UT 84648-0139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2022
- **Last updated:** 03/04/2022