Wiscombe, Gary A

Wiscombe, Gary A is an individual health care provider with primary practice located at 10011 Centennial Pkwy , Sandy UT 84070-4156. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Wiscombe, Gary A can be contacted via phone (801) 993-9527.

Contact Information

Primary practice address
10011 Centennial Pkwy Sandy UT 84070-4156
Fax: (801) 733-5872
Website:

Health care specialties

Profile Details

NPI number 1790881761
LBN Legal business name Wiscombe, Gary A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790881761 NPPES
Utah Other 02251854400001 BCBS
Utah Other 22332 BCBS
Utah Other 72748 BCBS
Utah Other QM0000076551 BCBS
Utah Other 851248 BCBS
Utah Other 107028132101 BCBS
Utah Other QMP0000033333378 BCBS

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