Ips of Utah LLC

NPI #1568690998 in Draper, Utah

Provider Information

NPI Number: 1568690998
Entity Type: Organization
Organization Name: Ips of Utah LLC
Primary Specialty: Anesthesiology
Enumeration Date: Jun 24, 2009
Last Updated: Jun 24, 2009

Practice Location

Address: 11800 S. STATE ST
City: Draper
State: Utah
ZIP Code: 84020
Phone: (801) 316-1313

Authorized Official

Name: CARL R, NOBACK, MD
Title: MEMBER
Phone: (941) 360-1566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiology	207L00000X	Primary

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