# RIVERWOODS ANESTHESIA PLLC

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

## Provider details

- **NPI number:** 1821290883
- **Authorized official:** CLARK S ASHBY MD (MEMBER)
- **Authorized official phone:** (801) 437-4500

## Contact information

- **Practice address:** 320 RIVER PARK DR STE 195, PROVO, UT 84604-6065
- **Practice address phone:** (801) 437-4500
- **Practice address fax:** (801) 374-9195
- **Mailing address:** 320 RIVER PARK DR STE 195, PROVO, UT 84604-6065
- **Mailing address phone:** (801) 437-4500

## Taxonomy

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

## Other

- **Enumeration date:** 06/01/2007
- **Last updated:** 04/18/2023