NPI Details | |
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NPI | 1275745309 |
Gender | Male |
Enumeration Date | 05/03/2007 |
Last Updated | 07/08/2007 |
Entity Type | Individual |
Active | Over 10 years ago |
Practice Location | |
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1067 N 500 W PROVO UT, 84604, US |
|
Phone | (801) 375-8049 |
Fax | (801) 374-9195 |
Business Location | |
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PO BOX 1727 PROVO UT, 84603-1727, US |
|
Phone | (801) 375-8049 |
Fax | (801) 374-9195 |
Toxanomy | |
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Taxonomy Code | 367500000X |
License State | Utah |
License Number | 191104-4406 |
Remove 1275745309 NPI Number |
According to our database, Patrick Read Vanwagoner CRNA NPI is 1275745309, taxonomy code is 367500000X and license number is 191104-4406, license state is located at Utah. Patrick Read Vanwagoner CRNA physically located at 1067 N 500 W, Provo UT, 84604. NPI Number Patrick Read Vanwagoner CRNA has the Individual type.
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1275745309 NPI number is provided on an as is basis without warranty of any kind. 1275745309 is maintained by the National Plan & Provider Enumeration System. The contents of Patrick Read Vanwagoner CRNA are for informational purposes only.
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