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Individual

SUZANNE H HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3741 W 12600 S, RIVERTON HOSPITAL, RIVERTON, UT 84065
(801) 285-4000
(801) 733-5618
Mailing address
3340 NORTH CENTER ST, #800, LEHI, UT 84043-7406
(801) 990-1911
(801) 990-1912

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5818388-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100507329
NV
01
107041106101
IHC
UT
05
121257500
WY
01
1502954
UMWA
UT
01
2090168
UNITED HEALTHCARE
UT
01
41026
HEALTHY U
UT
01
58183881200001
BCBS
UT
05
807197200
ID
01
83771
PEHP
UT
01
870545614HAR
EDUCATORS MUTUAL
UT
01
915332
DESERET MUTUAL
UT
05
947195
AZ
01
QM0000075886
ALTIUS
UT
01
QMP000003336800
MOLINA
UT
Enumeration date
10/04/2006
Last updated
10/15/2012
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