Organization
ROCKY MOUNTAIN ANESTHESIOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNA HARRISON (SR MANAGER SHARED SERVICES)
(972) 761-5508
Entity
Organization
Contact information
Practice address
5475 S 500 E, OGDEN, UT 84405-6905
(800) 880-3566
(801) 432-2670
Mailing address
2221 LAKESIDE BLVD STE 600, RICHARDSON, TX 75082-4416
(972) 761-5508
(469) 436-3932
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870458708005
—
UT
Enumeration date
07/02/2006
Last updated
01/20/2022
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