NPI 1770999807
Mt Ogden Anesthesia Group LLC
Practice location
- Address
- 3480 Washington Blvd STE 105, Ogden, UT 84401-4149
- Phone
- (801) 392-0385
- Fax
- (801) 393-3334
- Mailing address
- PO Box 837, Ogden, UT 84402-0837
Authorised official
- Name
- Layne Croxford
- Title
- Co-Owner
- Phone
- (801) 392-0385
Registered specialties (2)
Certified Registered Nurse Anesthetist
Primary
Anesthesiology Physician
Registry record
- NPI
- 1770999807
- Entity type
- Organization
- NPI issued
- 9 Jul 2014
- Record last updated
- 17 Jun 2015
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.