Organization
MT OLYMPUS ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH STRATTON CRNA (OWNER)
(801) 842-7799
Entity
Organization
Contact information
Practice address
4035 S SPLENDOR CIR, SALT LAKE CITY, UT 84124-2177
(801) 842-7799
Mailing address
4035 S SPLENDOR CIR, SALT LAKE CITY, UT 84124-2177
(801) 842-7799
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
08/14/2020
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