Whalio Doctors

NPI 1790881761

Gary a Wiscombe, CRNA

Practitioner Certified Registered Nurse Anesthetist Sandy, UT

Practice location

Address
10011 Centennial Pkwy, Sandy, UT 84070-4156
Phone
(801) 993-9527
Fax
(801) 733-5872
Mailing address
1727 Red Barn Rd, Springville, UT 84663-3231

Registered specialties

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 0225185-4406 (UT)

Registry record

NPI
1790881761
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 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.