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Individual

RON W PULVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
6360 S 3000 E STE 310, SALT LAKE CITY, UT 84121
(801) 944-3144
(801) 944-3186
Mailing address
1000 COBBLESTONE DR, HEBER CITY, UT 84032-3959
(435) 671-1261

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2128894406
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2128894406
UTAH STATE LICENSE
UT
Enumeration date
08/10/2006
Last updated
09/12/2018
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