Leb Perioperative Medicine LLC

NPI #1285994350 in Cody, Wyoming

Provider Information

NPI Number: 1285994350
Entity Type: Organization
Organization Name: Leb Perioperative Medicine LLC
Primary Specialty: Anesthesiology
Enumeration Date: May 23, 2012
Last Updated: May 23, 2012

Practice Location

Address: 707 SHERIDAN AVE
City: Cody
State: Wyoming
ZIP Code: 82414-3409
Phone: (307) 587-2139

Authorized Official

Name: MR. LUKE E BRACKE, M.D.
Title: OWNER
Phone: (208) 525-2090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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