Organization
SCOTT WHITAKER CRNA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT WHITAKER CRNA (OWNER)
(801) 643-3506
Entity
Organization
Contact information
Practice address
268 W 4050 N, PLEASANT VIEW, UT 84414-1182
(801) 643-3506
Mailing address
268 W 4050 N, PLEASANT VIEW, UT 84414-1182
(801) 643-3506
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
N30696
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806452700
—
ID
Enumeration date
04/12/2007
Last updated
11/12/2010
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