NPI 1497859037

Evan B Theobald, CRNA

Practitioner Certified Registered Nurse Anesthetist Payson, UT

Practice location

Address: 1000 E 100 N, Payson, UT 84651-1600
Phone: (800) 748-4868
Fax: (801) 733-5872
Mailing address: 32 W 1320 S, Payson, UT 84651-3012

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 375417-4406 (UT)

Other Nurse Anesthetist, Certified Registered providers in Utah →

Registry record

NPI: 1497859037
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Sep 2006
Record last updated: 8 Jul 2007

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.