Whalio Doctors

NPI 1073507752

Roger Sausedo, CRNA

Practitioner Certified Registered Nurse Anesthetist Salt Lake City, UT

Practice location

Address
3838 S 700 E Suite 200, Salt Lake City, UT 84106-1466
Phone
(801) 261-4988
Fax
(801) 269-9427
Mailing address
PO Box 27688, Salt Lake City, UT 84127-0688

Registered specialties

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 335337-4406 (UT)

Registry record

NPI
1073507752
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 Sep 2005
Record last updated
10 Dec 2009

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.