Provider Demographics
NPI:1558927376
Name:ROCKY POINT ANESTHESIA
Entity Type:Organization
Organization Name:ROCKY POINT ANESTHESIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROCK
Authorized Official - Middle Name:E
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:801-866-5143
Mailing Address - Street 1:6811 FIRTH FARM RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH WEBER
Mailing Address - State:UT
Mailing Address - Zip Code:84405-7193
Mailing Address - Country:US
Mailing Address - Phone:801-866-5143
Mailing Address - Fax:323-433-9177
Practice Address - Street 1:6811 FIRTH FARM RD
Practice Address - Street 2:
Practice Address - City:SOUTH WEBER
Practice Address - State:UT
Practice Address - Zip Code:84405-7193
Practice Address - Country:US
Practice Address - Phone:801-866-5143
Practice Address - Fax:323-433-9177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-16
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty