Organization
GREAT BASIN ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER A NEWLIN CRNA (OWNER)
(801) 547-0202
Entity
Organization
Contact information
Practice address
1600 W ANTELOPE DR, LAYTON, UT 84041-1142
(801) 547-0202
Mailing address
PO BOX 856, KAYSVILLE, UT 84037-0856
(801) 547-0202
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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