NPI 1063961928

Chase Bazil, CRNA

Practitioner Certified Registered Nurse Anesthetist Provo, UT

Practice location

Address: 1900 N State St STE 105, Provo, UT 84604-1354
Phone: (801) 655-5245
Mailing address: 348 W 90 S, Salem, UT 84653-9158

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 9902165-8901 (UT)

Other Nurse Anesthetist, Certified Registered providers in Utah →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 9902165-4406 (UT)

Registry record

NPI: 1063961928
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2016
Record last updated: 11 Nov 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.