Organization
RIDING ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE R RIDING CRNA (PRESIDENT)
(800) 748-4868
Entity
Organization
Contact information
Practice address
1220 E 3900 S, 4G, SALT LAKE CITY, UT 84124-1327
(800) 748-4868
(801) 733-5872
Mailing address
1954 FORT UNION BLVD, 101, SALT LAKE CITY, UT 84121-6800
(800) 748-4868
(801) 733-5872
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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