Organization
HIGHLANDS ANESTHESIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICAH PATRICK KRONMILLER CRNA (PRESIDENT)
(801) 920-0743
Entity
Organization
Contact information
Practice address
4364 WASHINGTON BLVD, OGDEN, UT 84403-1866
(801) 436-1637
(801) 476-7002
Mailing address
6277 S 2225 E, OGDEN, UT 84403-5301
(801) 920-0743
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
380438-4406
UT
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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