Organization
LAYNE B. CROXFORD CRNA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAYNE B. CROXFORD CRNA (PRESIDENT)
(801) 726-6332
Entity
Organization
Contact information
Practice address
4364 WASHINGTON BLVD, OGDEN, UT 84403-1866
(801) 479-4470
(801) 476-7002
Mailing address
4364 WASHINGTON BLVD, OGDEN, UT 84403-1866
(801) 479-4470
(801) 476-7002
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
204478-4406
UT
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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