Grand Anesthesiology Services Pc

NPI 1477567246 - Anesthesiology - 207L00000X

NPI Details
NPI 1477567246
Enumeration Date 07/28/2006
Last Updated 03/03/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARC MARC
Position PRESIDENT
Phone (800) 877-7078
Fax (307) 739-7446
Practice Location
625 E BROADWAY
JACKSON WY, 83001, US
Phone (800) 877-7078
Fax (307) 739-7446
Business Location
PO BOX 1501
IDAHO FALLS ID, 83403-1501, US
Phone (208) 525-2090
Fax (208) 525-2662
Toxanomy
Taxonomy Code 207L00000X
License State
License Number
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According to our database, Grand Anesthesiology Services Pc NPI is 1477567246, taxonomy code is 207L00000X Grand Anesthesiology Services Pc physically located at 625 E Broadway, Jackson WY, 83001. NPI Number 1033115704 has the healthcare provider type.

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1477567246 NPI number is provided on an as is basis without warranty of any kind. 1477567246 is maintained by the National Plan & Provider Enumeration System. The contents of Grand Anesthesiology Services Pc are for informational purposes only.