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NPI Code Detail

MEDICARE: ROBERT G KRUM CRNA

MEDICARE: ROBERT G KRUM 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 Anesthetist101049MT
2367500000XCertified Registered Nurse Anesthetist280744-4406UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1190382600OTHERUTDEPT OF LABOR
2QMP000003333384OTHERUTMOLINA
3107043315101OTHERUTIHC
466564OTHERUTHEALTHY U

General Provider Information

NPI Number : 1215966080
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT G KRUM CRNA
Provider Business Mailing Address
First Line : 942 S 1660 E
Second Line :
City : SPANISH FORK
State : UT
Zip : 84660-2686
Country : US
Telephone Number : 801-794-1356
Fax Number :
Provider Business Practice Location Address
First Line : 750 W 800 N
Second Line :
City : OREM
State : UT
Zip : 84057-3660
Country : US
Telephone Number : 800-748-4868
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2006
Last Update Date : 12/23/2025

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