Individual
CHASE BAZIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1900 N STATE ST STE 105, PROVO, UT 84604-1354
(801) 655-5245
Mailing address
348 W 90 S, SALEM, UT 84653-9158
(208) 351-0283
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
9902165-4406
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
9902165-8901
UT
Other
Enumeration date
10/03/2016
Last updated
11/11/2022
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