Dirk Bahoravitch, MSN, CRNA

NPI 1184083826 · on the registry since 2016 · sole proprietor

Practice

Address: 1067 N 500 W
Provo, UT 84604
Phone: (801) 374-0354
Organisation at this address: Central Utah Anesthesia Lc
Central Utah Surgical Center L.L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 367500000X
367500000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-01-19

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