Whalio Doctors

NPI 1194473520

Forever Young Medical Services PC

Organisation Certified Registered Nurse Anesthetist Salt Lake City, UT

Practice location

Address
6322 S 3000 E STE 170, Salt Lake City, UT 84121-7290
Phone
(801) 513-3223
Mailing address
PO Box 1385, Idaho Falls, ID 83403-1385

Authorised official

Name
Sean B Young
Title
Owner
Phone
(801) 698-9230

Registered specialties

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X

Registry record

NPI
1194473520
Entity type
Organization
NPI issued
15 Mar 2022
Record last updated
21 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.