Individual
CONNOR ANDERL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5475 S 500 E, OGDEN, UT 84405-6905
(800) 880-3566
(801) 733-5872
Mailing address
246 E 1050 N, KAYSVILLE, UT 84037-1249
(801) 476-7168
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
317095-4406
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
219506
ALTIUS
UT
01
—
59968
HEALTHY U
UT
01
—
68295
PEHP
UT
01
—
TPRA07565
MOLINA
UT
Enumeration date
08/11/2006
Last updated
07/08/2007
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