Dr JASON J POULSEN is a male medical professional, specializing in Anesthesiology. He graduated in 2004 from University Of Utah School Of Medicine.
MOUNTAIN WEST ANESTHESIA LLC
3741 W 12600
RIVERTON
UT
840657215
Tel: 8012854000
| Npi | 1659554301 |
| Pac Id | 7315016698 |
| Professional Enrollment Id | I20080513000745 |
| Last Name | POULSEN |
| First Name | JASON |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | MOUNTAIN WEST ANESTHESIA LLC |
| Group Practice Pac Id | 9032018502 |
| Number Of Group Practice Members | 181 |
| Line 1 Street Address | 3741 W 12600 |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | RIVERTON |
| State | UT |
| Zip Code | 840657215 |
| Phone Number | 8012854000 |
| Hospital Affiliation Ccn 1 | 460010 |
| Hospital Affiliation Lbn 1 | INTERMOUNTAIN MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 460049 |
| Hospital Affiliation Lbn 2 | THE ORTHOPEDIC SPECIALTY HOSPITAL |
| Hospital Affiliation Ccn 3 | 460058 |
| Hospital Affiliation Lbn 3 | RIVERTON HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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