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Individual

JAMES HARNED

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3580 W 9000 S, WEST JORDAN, UT 84088-8812
(801) 993-9527
Mailing address
4117 N 125 W, PLEASANT VIEW, UT 84414-1105
(801) 737-9359

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
221666-4406
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107002254104
IHC
UT
01
107011849101
IHC
UT
01
69777
PEHP
UT
01
718555
DMBA
UT
01
82935
PEHP
UT
01
87054240384121 A005
TRICARE
UT
01
PRA02813
MOLINA
UT
01
QM0000056027
ALTIUS
UT
01
QM0000076551
ALTIUS
UT
Enumeration date
06/09/2006
Last updated
07/08/2007
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