Kodiak Anesthesia PC

NPI #1295138972 in Casper, Wyoming

Provider Information

NPI Number: 1295138972
Entity Type: Organization
Organization Name: Kodiak Anesthesia PC
Primary Specialty: Anesthesiology
Enumeration Date: Oct 8, 2014
Last Updated: Dec 4, 2019

Practice Location

Address: 4850 CHINOOK TRL
City: Casper
State: Wyoming
ZIP Code: 82604-5201
Phone: (307) 473-8173

Authorized Official

Name: DR. MATTHEW D CHYNOWETH
Title: PRESIDENT
Phone: (307) 473-8173

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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