WESTERN DIVIDE ANESTHESIA, PC

SHERIDAN, WY
NPI1073023214
Entity TypeOrganization
Authorized ContactJEFFREY F PAL
Owner
970-846-2852
Organization Subpart ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: WY  10772A)
Enumeration Date2017-10-02
Last Update Date2017-11-01
Business Address
WESTERN DIVIDE ANESTHESIA, PC
1524 W 5TH ST
SHERIDAN, WY 82801-2707
Phone number: 307-672-7874
Mailing Address
WESTERN DIVIDE ANESTHESIA, PC
PO BOX 3610
IDAHO FALLS, ID 83403-3610
Phone number: 208-525-2090
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