Organization
WESTERN ANESTHESIA ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
E. WAYNE LARSEN M.D. (PRESIDENT)
(801) 299-2160
Entity
Organization
Contact information
Practice address
630 MEDICAL DR, BOUNTIFUL, UT 84010-4908
(801) 299-2160
(801) 299-2549
Mailing address
PO BOX 3810, SALT LAKE CITY, UT 84110-3810
(801) 527-3841
(801) 733-5618
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/14/2006
Last updated
09/11/2009
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