SearchUtah207L00000X

Brent Wall, DO

NPI 1902947757 · on the registry since 2007 · sole proprietor

Practice

Address
1600 W Antelope Dr
Layton, UT 84041
Phone
(801) 807-1000
Organisation at this address
Great Basin Anesthesia
Davis Hospital Holdings, Inc.
Davis Hospital Holdings, Inc.
North Davis Anesthesiology Llc
Professional Anesthesia Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
33

Registry record

Primary taxonomy
207L00000X
207L00000X
Also registered as
207L00000X
Licence states on file
TN, UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-08

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