Organization
INNOVATIVE ANESTHESIA SOLUTIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY HADLOCK CRNA (MANAGING PARTNER)
(435) 673-8080
Entity
Organization
Contact information
Practice address
585 E RIVERSIDE DR, ST GEORGE, UT 84790-7141
(435) 673-8080
(435) 673-0096
Mailing address
PO BOX 1169, BOUNTIFUL, UT 84011-1169
(435) 673-8080
(801) 951-2351
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
04/21/2025
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