Organization
ELITE ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BERGESON CRNA (OWNER)
(804) 335-7421
Entity
Organization
Contact information
Practice address
175 N 400 W STE C10, OREM, UT 84057-1909
(801) 224-6767
Mailing address
7090 S UNION PARK AVE STE 300, MIDVALE, UT 84047-6041
(801) 836-4323
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/09/2020
Last updated
10/28/2022
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