Organization
WORTHEN ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL G. WORTHEN CRNA (OWNER)
(435) 753-1600
Entity
Organization
Contact information
Practice address
676 S BLUFF ST, ST GEORGE, UT 84770-3596
(435) 673-8080
Mailing address
274 N MAIN ST, LOGAN, UT 84321-3915
(435) 753-1600
(435) 753-9521
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
361659-4406
UT
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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