Healthcare Provider Details

I. General information

NPI: 1144838004
Provider Name (Legal Business Name): ANESTHESIOLOGY ASSOCIATES OF UTAH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2020
Last Update Date: 07/24/2020
Certification Date: 07/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5450 S GREEN ST STE B
MURRAY UT
84123-5632
US

IV. Provider business mailing address

1649 S 200 E
FARMINGTON UT
84025-2033
US

V. Phone/Fax

Practice location:
  • Phone: 801-663-3332
  • Fax:
Mailing address:
  • Phone: 801-663-3332
  • Fax: 801-716-7889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARK SCOTT HUFF
Title or Position: CEO & CMO
Credential: MD
Phone: 801-663-3332