Organization
BOUNTIFUL RIDGE ANESTHESIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE B TURNER CRNA (SOLE MBR)
(801) 698-8498
Entity
Organization
Contact information
Practice address
630 MEDICAL DR, BOUNTIFUL, UT 84010-4908
(801) 299-2200
Mailing address
962 MILL SHADOW DR, KAYSVILLE, UT 84037-4210
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
5588901-4406
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/07/2012
Last updated
11/20/2017
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