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Individual

FRANK LYNN HEWITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
630 MEDICAL DR, BOUNTIFUL, UT 84010-4908
(801) 299-2276
Mailing address
1586 E MILLBROOK WAY, BOUNTIFUL, UT 84010-1530
(801) 298-3220

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
277251-4406
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27725144000001
BLUE CROSS
UT
05
529151071001
UT
Enumeration date
01/19/2007
Last updated
07/08/2007
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