Organization
PROFESSIONAL ANESTHESIA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC J LINFORD CRNA (PRESIDENT)
(801) 451-5136
Entity
Organization
Contact information
Practice address
1600 W ANTELOPE DR, LAYTON, UT 84041-1142
(801) 774-7020
(801) 451-5136
Mailing address
PO BOX 908, BOUNTIFUL, UT 84011-0908
(801) 296-2113
(801) 296-1715
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235541848
—
UT
Enumeration date
05/30/2014
Last updated
05/22/2015
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