Daniel Roush, CRNA | |
450 Williams Way, Moab, UT 84532-2065 | |
(435) 719-3508 | |
(435) 719-3509 |
Full Name | Daniel Roush |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 450 Williams Way, Moab, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851577118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 184123 (Colorado) | Primary |
Entity Name | Moab Valley Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770513236 PECOS PAC ID: 2466361720 Enrollment ID: O20040114000346 |
Entity Name | San Juan County Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659315877 PECOS PAC ID: 4486541851 Enrollment ID: O20040301000938 |
Mailing Address | Practice Location Address |
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Daniel Roush, CRNA Po Box 998, Moab, UT 84532-0998 Ph: (435) 719-3508 | Daniel Roush, CRNA 450 Williams Way, Moab, UT 84532-2065 Ph: (435) 719-3508 |
Mr. Laird Ian Clark, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 450 Williams Way, Moab, UT 84532 Phone: 435-719-3510 | |
Kay Osteen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 719 W 400 N, Moab, UT 84532 Phone: 435-259-7191 |