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NPI Code Detail

MEDICARE: MR. AARON MATTHEW BRONSON CRNA

MEDICARE: MR. AARON MATTHEW BRONSON 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 Anesthetist89096NM
2367500000XCertified Registered Nurse Anesthetist364276-4406UT

General Provider Information

NPI Number : 1952543209
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. AARON MATTHEW BRONSON CRNA
Provider Business Mailing Address
First Line : 1954 E FT UNION BLVD STE 106
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84121-6890
Country : US
Telephone Number : 801-993-9581
Fax Number : 801-733-5618
Provider Business Practice Location Address
First Line : 5475 S 500 E
Second Line :
City : OGDEN
State : UT
Zip : 84405-6905
Country : US
Telephone Number : 800-880-3566
Fax Number : 801-733-5872
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2009
Last Update Date : 05/05/2026

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