Individual
MR. DEAN DENNIS SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2055 N MAIN ST, TOOELE, UT 84074-9819
(435) 843-3600
Mailing address
PO BOX 210, ROY, UT 84067-0210
(081) 825-4700
(801) 825-9076
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
6280859-4406
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972683498
—
WI
Enumeration date
10/17/2006
Last updated
04/30/2009
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