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Contact Information

LEGACY ANESTHESIA LLC
1485 S HIGHWAY 40
HEBER CITY, UT84032-3522
 Phone: 435-654-2500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for LEGACY ANESTHESIA LLC

NPI Number 1851764112
LBN Legal business name LEGACY ANESTHESIA LLC
Authorized official MICHAEL DAGLEY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/09/2015
Last updated 11/16/2016 - About 10 years ago
Identifiers
UT License # 120505
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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