Organization
LITTLE VALLEY ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMETT WAYNE SEXTON CRNA (OWNER)
(435) 225-5836
Entity
Organization
Contact information
Practice address
89 E FISH HATCHERY RD, MANTUA, UT 84324-4379
(435) 225-5836
Mailing address
89 E FISH HATCHERY RD, MANTUA, UT 84324-4379
(435) 225-5836
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
216299-4406
UT
Other
Enumeration date
09/20/2014
Last updated
09/20/2014
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