Fremont Anesthesia Associate, Pllc

NPI #1053508564 in Riverton, Wyoming

Provider Information

NPI Number
1053508564
Entity Type
Organization
Organization Name
Fremont Anesthesia Associate, Pllc
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Sep 28, 2007
Last Updated
Nov 25, 2009

Practice Location

Address
2100 W SUNSET DR
State
Wyoming
ZIP Code
82501-2274
Phone
(800) 967-1646

Authorized Official

Name
MATTHEW A MULLINIX, CRNA
Title
MANAGING GROUP MEMBER
Phone
(307) 856-4161

Specialties & Taxonomy Codes

Specialty
Anesthesiology
Nurse Anesthetist, Certified Registered

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