Grand Teton Anesthesia, LLC

NPI #1528417938 in Jackson, Wyoming

Provider Information

NPI Number
1528417938
Entity Type
Organization
Organization Name
Grand Teton Anesthesia, LLC
Primary Specialty
Anesthesiology
Enumeration Date
Jun 7, 2016
Last Updated
Jun 7, 2016

Practice Location

Address
150 BUFFALO WAY
State
Wyoming
ZIP Code
83001
Phone
(404) 803-6823

Authorized Official

Name
DR. MATTHEW ZELEZNIK, M.D.
Title
ORGANIZER
Phone
(404) 803-6823

Specialties & Taxonomy Codes

Specialty
Anesthesiology

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