Mr Trevor Koel Tomlinson, CRNA | |
320 River Park Dr, Provo, UT 84604-6060 | |
(801) 830-8738 | |
Not Available |
Full Name | Mr Trevor Koel Tomlinson |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 320 River Park Dr, Provo, 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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1659305134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 266865-4406 (Utah) | Primary |
Entity Name | Riverwoods Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821290883 PECOS PAC ID: 0547217366 Enrollment ID: O20050405000096 |
Mailing Address | Practice Location Address |
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Mr Trevor Koel Tomlinson, CRNA 696 N Center St, Lehi, UT 84043-1614 Ph: (801) 830-8738 | Mr Trevor Koel Tomlinson, CRNA 320 River Park Dr, Provo, UT 84604-6060 Ph: (801) 830-8738 |
Sarah Ward Barnaby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-727-2056 Fax: 770-701-6675 | |
Rodney L Fisher, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 320 River Park Dr Ste 125, Provo, UT 84604 Phone: 801-375-8049 Fax: 801-374-9195 | |
Chase Bazil, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1900 N State St Ste 105, Provo, UT 84604 Phone: 801-655-5245 | |
Shelby Lyn Beck, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1067 N 500 W, Provo, UT 84604 Phone: 801-374-0354 | |
Joyce Westphal, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 585 N 500 W, Provo, UT 84601 Phone: 801-375-0983 Fax: 801-375-0988 | |
Samantha Anderson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 608-695-0168 | |
Dirk Bradley Bahoravitch, MSN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1067 N 500 W, Provo, UT 84604 Phone: 801-374-0354 |