NPI | 1306258991 |
---|---|
Doing Business As | SIGNATURE ANESTHESIA |
Entity Type | Organization |
Authorized Contact | RYAN K. LARSEN President 406-855-0844 |
Organization Subpart ? | No |
Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: MT 7687) |
Enumeration Date | 2014-05-29 |
Last Update Date | 2020-10-28 |