Provider Demographics
NPI:1538347364
Name:DANNY COLE LLC
Entity type:Organization
Organization Name:DANNY COLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:L
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:801-825-4700
Mailing Address - Street 1:4695 S 1900 W STE 2
Mailing Address - Street 2:PO BOX 210
Mailing Address - City:ROY
Mailing Address - State:UT
Mailing Address - Zip Code:84067-2669
Mailing Address - Country:US
Mailing Address - Phone:801-825-4700
Mailing Address - Fax:801-825-9076
Practice Address - Street 1:4364 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-1866
Practice Address - Country:US
Practice Address - Phone:801-825-4700
Practice Address - Fax:801-825-9076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-04
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty