Organization
CBT ANESTHESIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL B TANNER CRNA (PRESIDENT)
(801) 726-1340
Entity
Organization
Contact information
Practice address
4364 WASHINGTON BLVD, OGDEN, UT 84403-1866
(801) 781-4012
Mailing address
4364 WASHINGTON BLVD, OGDEN, UT 84403-1866
(801) 781-4012
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2043774406
UT
Other
Enumeration date
02/25/2010
Last updated
11/10/2010
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