Organization
BRIGHAM ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL GARDNER (MEMBER MANAGER)
(435) 734-4370
Entity
Organization
Contact information
Practice address
950 S 500 W, BRIGHAM CITY, UT 84302-4724
(800) 594-6399
(801) 733-5618
Mailing address
PO BOX 3810, SALT LAKE CITY, UT 84110-3810
(800) 594-6399
(801) 733-5618
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/16/2006
Last updated
09/17/2024
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