Organization
SOUTH TOWNE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY GIANOULIS (AUTHORIZED OFFICIAL)
(801) 571-2824
Entity
Organization
Contact information
Practice address
96 E KIMBALLS LN, DRAPER, UT 84020-5020
(801) 233-9300
Mailing address
PO BOX 3570, SALT LAKE CITY, UT 84110-3570
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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