Individual
MR. ROYCE BAIRD BARTHOLOMEW
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5674 WOODLAND DR, MOUNTAIN GREEN, UT 84050-9914
(801) 372-1888
Mailing address
5674 WOODLAND DR, MOUNTAIN GREEN, UT 84050-9914
(801) 372-1888
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
215642-4406
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202438385 00001
CIGNA
UT
01
—
71685
PUBLIC EMPLOYEES HEALTH P
UT
Enumeration date
03/29/2006
Last updated
07/08/2007
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