Individual
MITCHELL D REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
754 S MAIN ST, ST GEORGE, UT 84770-5504
(435) 652-9127
(435) 674-7339
Mailing address
PO BOX 911928, ST GEORGE, UT 84791-1928
(435) 652-9127
(435) 674-7339
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN61583
NV
207L00000X
Anesthesiology Physician
Primary
199460-4406
UT
367500000X
Certified Registered Nurse Anesthetist
199460-4406
UT
367500000X
Certified Registered Nurse Anesthetist
CRNA000347
NV
Other
Enumeration date
01/19/2007
Last updated
06/30/2019
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