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Jack Holland, CRNA
NPI 1699755231 · on the registry since 2006
Practice
- Address
- Heber Valley Hospital
1485 Us-40
Heber City, UT 84032 - Phone
- (435) 654-2500
Additional practice sites
- 8th Avenue C Street, Salt Lake City, UT
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163W00000X
367500000X
367500000X - Licence states on file
- NC, NV, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-26
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