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1477567246
GRAND ANESTHESIOLOGY SERVICES PC
JACKSON, WY
NPI
1477567246
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Entity Type
Organization
Authorized Contact
MARC DOMSKY
President
307-739-7218
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
Enumeration Date
2006-07-28
Last Update Date
2008-03-03
Business Address
GRAND ANESTHESIOLOGY SERVICES PC
625 E BROADWAY
JACKSON, WY 83001
Phone number: 800-877-7078
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Mailing Address
GRAND ANESTHESIOLOGY SERVICES PC
PO BOX 1501
IDAHO FALLS, ID 83403-1501
Phone number: 208-525-2090
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