Organization
CLOUD NINE SEDATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN C RABE CRNA (OWNER)
(801) 540-0115
Entity
Organization
Contact information
Practice address
5465 ASPEN MEADOW LN, MOUNTAIN GREEN, UT 84050-6766
(801) 540-0115
Mailing address
PO BOX 150721, OGDEN, UT 84415-0721
(801) 876-0033
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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