| Summit Anesthesia, Pllc | |
|
5136 S Cottonwood Ln Holladay UT 84117-7102 | |
| (801) 718-6395 | |
| Not Available |
| Full Name | Summit Anesthesia, Pllc |
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 5136 S Cottonwood Ln, Holladay, Utah |
| Authorized Official Name and Position | Mitchell D Duckworth (OWNER) |
| Authorized Official Contact | 8017186395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Anesthesia, Pllc 5136 S Cottonwood Ln Holladay UT 84117-7102 Ph: (801) 718-6395 | Summit Anesthesia, Pllc 5136 S Cottonwood Ln Holladay UT 84117-7102 Ph: (801) 718-6395 |
| NPI Number | 1427840297 |
|---|---|
| Provider Enumeration Date | 05/19/2025 |
| Last Update Date | 05/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427840297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 1223D0004X | Dentist - Dentist Anesthesiologist | (* (Not Available)) | Primary |
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