| Evan B Theobald, CRNA | |
|
1000 E 100 N, Payson, UT 84651-1600 | |
| (800) 748-4868 | |
| (801) 733-5872 |
| Full Name | Evan B Theobald |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1000 E 100 N, Payson, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497859037 | NPI | - | NPPES |
| 34456 | Other | UT | HEALTHY U |
| 894814 | Other | UT | DESERET MUTUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 375417-4406 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Evan B Theobald, CRNA 32 W 1320 S, Payson, UT 84651-3012 Ph: (801) 465-3844 | Evan B Theobald, CRNA 1000 E 100 N, Payson, UT 84651-1600 Ph: (800) 748-4868 |
Cherie Carpenter Bate, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 E 100 N, Payson, UT 84651 Phone: 801-857-8841 | |
Kurt L Christensen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 E 100 N, Payson, UT 84651 Phone: 800-748-4868 Fax: 801-733-5872 | |
Jared K Robinson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 E 100 N, Payson, UT 84651 Phone: 800-748-4868 Fax: 801-733-5872 | |
Kenneth A Money, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 E 100 N, Payson, UT 84651 Phone: 800-748-4868 Fax: 801-733-5872 | |
Shaun Evans, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 E 100 N, Payson, UT 84651 Phone: 800-748-4868 Fax: 801-733-5872 | |
Todd James Hartley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1638 S 500 W, Payson, UT 84651 Phone: 801-372-4523 |