Healthcare Provider Details

I. General information

NPI: 1992750640
Provider Name (Legal Business Name): SANPETE ANESTHESIA SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 10/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 S MEDICAL DR
MT PLEASANT UT
84647-2222
US

IV. Provider business mailing address

PO BOX 491
EPHRAIM UT
84627-0491
US

V. Phone/Fax

Practice location:
  • Phone: 435-462-2441
  • Fax: 435-462-2609
Mailing address:
  • Phone: 435-462-0315
  • Fax: 435-462-0315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVE HOUSTON MEEK
Title or Position: CRNA PRESIDENT
Credential: CRNA
Phone: 435-462-0315