# BRIGHAM ANESTHESIA, LLC

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

## Provider details

- **NPI number:** 1710904800
- **Authorized official:** JOEL GARDNER (MEMBER MANAGER)
- **Authorized official phone:** (435) 734-4370

## Contact information

- **Practice address:** 950 S 500 W, BRIGHAM CITY, UT 84302-4724
- **Practice address phone:** (800) 594-6399
- **Practice address fax:** (801) 733-5618
- **Mailing address:** PO BOX 3810, SALT LAKE CITY, UT 84110-3810
- **Mailing address phone:** (800) 594-6399
- **Mailing address fax:** (801) 733-5618

## Taxonomy

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

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 09/17/2024