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NPI Code Detail

MEDICARE: WILLIAM J GALBRAITH IV CRNA

MEDICARE: WILLIAM J GALBRAITH IV 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 Anesthetist12456232-4406UT

General Provider Information

NPI Number : 1629900014
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM J GALBRAITH IV CRNA
Provider Business Mailing Address
First Line : 2069 RYAN CIR
Second Line :
City : OGDEN
State : UT
Zip : 84403-4995
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5475 S 500 E
Second Line :
City : OGDEN
State : UT
Zip : 84405-6905
Country : US
Telephone Number : 801-479-2111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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