DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CHASE BAZIL CRNA

MEDICARE: CHASE BAZIL CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist9902165-4406UT
2367500000XCertified Registered Nurse Anesthetist9902165-8901UT

General Provider Information

NPI Number : 1063961928
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHASE BAZIL CRNA
Provider Business Mailing Address
First Line : 348 W 90 S
Second Line :
City : SALEM
State : UT
Zip : 84653-9158
Country : US
Telephone Number : 208-351-0283
Fax Number :
Provider Business Practice Location Address
First Line : 1900 N STATE ST STE 105
Second Line :
City : PROVO
State : UT
Zip : 84604-1354
Country : US
Telephone Number : 801-655-5245
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2016
Last Update Date : 11/11/2022

Similar Medicare Providers

1386866572 — ANDREW MOORE
Practice Location Address:
1900 N STATE ST STE 105
PROVO, UT
84604-1354
Practice Phone: 801-655-5245
Practice Fax:
1447630009 — BROOKE BAZIL MSN, CRNA
Practice Location Address:
1900 N STATE ST STE 105
PROVO, UT
84604-1354
Practice Phone: 801-655-5245
Practice Fax: 801-216-8357
1770050221 — VALLEY OBSTETRICS AND GYNECOLOGY, P.C.
Practice Location Address:
1900 N STATE ST STE 105
PROVO, UT
84604-1354
Practice Phone: 801-655-5245
Practice Fax: 801-702-1260
1124620232 — KILEE JO TAYLOR
Practice Location Address:
1900 N STATE ST STE 103
PROVO, UT
84604-1354
Practice Phone: 801-669-5758
Practice Fax:
1811624513 — KATIE ELAINE RIDGE MCKINNON
Practice Location Address:
1900 N STATE ST STE 105
PROVO, UT
84604-1354
Practice Phone: 801-655-5245
Practice Fax:
1093592545 — MRS. CHELSEY LYNNE COOK APRN, FNP-C
Practice Location Address:
1900 N STATE ST STE 105
PROVO, UT
84604-1354
Practice Phone: 801-655-5245
Practice Fax:

Directions to “ CHASE BAZIL CRNA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.