Annette S Proctor
Medical Specialty
Professional ID
- NPI: 1518931344
- PECOS ID: 7315987369
- Enrollment ID: I20070905000307
- Credential(MD, DO, DPM): CNA
- Medical School:
- Medical School Graduation Year: 2005
Hospital Service
- Hospital CCN1: 460014
- Business Name (LBN)1: Mountain West Medical Center
Medical Practices
- Organization Name: Deseret Peak Anesthesia, Llc
- Group Practice ID assigned by PECOS: 6002884996
- Number of Group Practice member: 10
Location
- Address1: 2055 N Main
- Address2:
- City: Tooele
- State: Utah
- Zip Code: 84074
- Phone Number: (435)843-3600
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):