# ROCKY MOUNTAIN ANESTHESIOLOGY, PC

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

## Provider details

- **NPI number:** 1487683215
- **Authorized official:** DIANNA HARRISON (SR MANAGER SHARED SERVICES)
- **Authorized official phone:** (972) 761-5508

## Contact information

- **Practice address:** 5475 S 500 E, OGDEN, UT 84405-6905
- **Practice address phone:** (800) 880-3566
- **Practice address fax:** (801) 432-2670
- **Mailing address:** 2221 LAKESIDE BLVD STE 600, RICHARDSON, TX 75082-4416
- **Mailing address phone:** (972) 761-5508
- **Mailing address fax:** (469) 436-3932

## Taxonomy

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

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 01/20/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 870458708005 | — | UT |