Individual
JEREMY LEE GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 727-2056
(770) 701-6675
Mailing address
PO BOX 3570, SALT LAKE CITY, UT 84110-3570
(801) 727-2056
(770) 701-6675
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5544099-4406
UT
367500000X
Certified Registered Nurse Anesthetist
RNA770
ID
Other
Enumeration date
02/25/2010
Last updated
11/02/2021
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