Christopher David Smith, CRNA | |
2055 N Main St, Tooele, UT 84074-9819 | |
(435) 843-8543 | |
Not Available |
Full Name | Christopher David Smith |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2055 N Main St, Tooele, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1639948243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 10855081-4406 (Utah) | Primary |
Entity Name | Desert Peak Anesthesia, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518972280 PECOS PAC ID: 6002884996 Enrollment ID: O20040920000002 |
Mailing Address | Practice Location Address |
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Christopher David Smith, CRNA 2055 N Main St, Tooele, UT 84074-9819 Ph: (435) 843-8543 | Christopher David Smith, CRNA 2055 N Main St, Tooele, UT 84074-9819 Ph: (435) 843-8543 |
Matthew A. Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St., Tooele, UT 84074 Phone: 435-843-3600 | |
Robin B. Bradshaw, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 | |
Annette S Proctor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 | |
Evie Anna Purdom, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 | |
Mr. Kyle H Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 | |
Mark E Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 |