Organization
OLYMPUS ANESTHESIA ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A ACKERLY MD (PRESIDENT)
(801) 993-1566
Entity
Organization
Contact information
Practice address
1050 E SOUTH TEMPLE, SALT LAKE CITY, UT 84102-1507
(801) 350-4700
Mailing address
1954 FORT UNION BLVD, 122, SALT LAKE CITY, UT 84121
(801) 993-1566
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20072055
UT
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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