Individual
WILLIAM MICHAEL DANCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1303 N MAIN ST, CEDAR CITY, UT 84720-9746
(801) 993-9501
(801) 733-5872
Mailing address
PO BOX 2621, CEDAR CITY, UT 84721-2621
(435) 586-5151
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
216546-4406
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107007068102
IHC
UT
01
—
80049
PEHP
UT
01
—
PR04680
MOLINA
UT
Enumeration date
08/19/2006
Last updated
07/08/2007
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