Organization
MT OGDEN ANESTHESIA GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAYNE CROXFORD CRNA (CO-OWNER)
(801) 392-0385
Entity
Organization
Contact information
Practice address
3480 WASHINGTON BLVD STE 105, OGDEN, UT 84401-4149
(801) 392-0385
(801) 393-3334
Mailing address
PO BOX 837, OGDEN, UT 84402-0837
(801) 392-0385
(801) 393-3334
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/09/2014
Last updated
06/17/2015
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