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Search › Utah › 363A00000X

Garrison Beach, PA

NPI 1114842788 · on the registry since 2026

Practice

Address
250 W 300 N
Roosevelt, UT 84066
Phone
(435) 722-4691
Organisation at this address
Duchesne County
Ubmc Anesthesiology
Uintah Basin Medical Center
Uintah Basin Medical Center
Uintah Basin Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
52

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah