Individual
MR. MICHAEL RYAN BLANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
170 N 1100 E, AMERICAN FORK, UT 84003-2096
(801) 357-8818
Mailing address
2897 N 900 W, PLEASANT GROVE, UT 84062-9033
(801) 836-4094
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5867631-4406
UT
Other
Enumeration date
02/27/2012
Last updated
05/16/2022
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