Individual
PAUL B REICHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
750 W 800 N, OREM, UT 84057-3660
(800) 748-4868
(801) 733-5618
Mailing address
1191 W 1670 N, PLEASANT GROVE, UT 84062-9228
(801) 796-5977
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
198716-4406
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107008060102
IHC
UT
01
—
343291
DESERET MUTUAL
UT
01
—
47396
PEHP
UT
01
—
7771
HEALTHY U
UT
01
—
870525882RE1
EDUCATORS MUTUAL
UT
01
—
QM0000076595
ALTIUS
UT
01
—
TPRA07641
MOLINA
UT
Enumeration date
09/13/2006
Last updated
07/08/2007
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