Individual
JOSEPH REYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5475 S 500 E, OGDEN, UT 84405-6905
(801) 479-2468
(801) 479-2936
Mailing address
2221 LAKESIDE BLVD STE 600, RICHARDSON, TX 75082-4416
(469) 505-1652
(469) 436-3976
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
7673816-4406
UT
367500000X
Certified Registered Nurse Anesthetist
CRNA1378
AZ
367500000X
Certified Registered Nurse Anesthetist
NUR-APRN-LIC-124537
MT
Other
Enumeration date
01/03/2017
Last updated
04/24/2024
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