| Patrick Read Vanwagoner, CRNA | |
|
1067 N 500 W, Provo, UT 84604 | |
| (801) 375-8049 | |
| (801) 374-9195 |
| Full Name | Patrick Read Vanwagoner |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1067 N 500 W, Provo, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275745309 | NPI | - | NPPES |
| 562302331007 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 191104-4406 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Read Vanwagoner, CRNA Po Box 1727, Provo, UT 84603-1727 Ph: (801) 375-8049 | Patrick Read Vanwagoner, CRNA 1067 N 500 W, Provo, UT 84604 Ph: (801) 375-8049 |
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 |