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Organization

SLEEPYTIME,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH J DORSEY (NURSE ANESTHETIST)
(928) 640-0516
Entity
Organization

Contact information

Practice address
754 S MAIN ST, SUITE 3, ST GEORGE, UT 84770-5504
(435) 628-2671
Mailing address
1179 REDWOOD TREE ST, SAINT GEORGE, UT 84790-6919
(928) 640-0516
(435) 674-2482

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
212569-4406
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DN6501
RAILROAD MEDICARE PART B
UT
Enumeration date
06/16/2008
Last updated
11/18/2008
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