| Daniel Roush, CRNA | |
|
450 Williams Way, Moab, UT 84532-2065 | |
| (435) 719-3508 | |
| (435) 719-3509 |
| Full Name | Daniel Roush |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 450 Williams Way, Moab, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851577118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 184123 (Colorado) | Primary |
| Entity Name | Moab Valley Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770513236 PECOS PAC ID: 2466361720 Enrollment ID: O20040114000346 |
| Entity Name | San Juan County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659315877 PECOS PAC ID: 4486541851 Enrollment ID: O20040301000938 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Roush, CRNA Po Box 998, Moab, UT 84532-0998 Ph: (435) 719-3508 | Daniel Roush, CRNA 450 Williams Way, Moab, UT 84532-2065 Ph: (435) 719-3508 |
Mr. Laird Ian Clark, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 450 Williams Way, Moab, UT 84532 Phone: 435-719-3510 | |
Kay Osteen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 719 W 400 N, Moab, UT 84532 Phone: 435-259-7191 |