Legacy Anesthesia LLC

NPI #1851764112 in Heber City, Utah

Provider Information

NPI Number: 1851764112
Entity Type: Organization
Organization Name: Legacy Anesthesia LLC
Primary Specialty: Anesthesiology
Enumeration Date: Nov 9, 2015
Last Updated: Nov 16, 2016

Practice Location

Address: 1485 S HIGHWAY 40
City: Heber City
State: Utah
ZIP Code: 84032-3522
Phone: (435) 654-2500

Authorized Official

Name: MR. MICHAEL DAGLEY, CRNA
Title: PRESIDENT
Phone: (435) 671-1254

Specialties & Taxonomy Codes

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

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