Chukar Haven Anesthesia PC

NPI #1619274347 in Riverton, Wyoming

Provider Information

NPI Number
1619274347
Entity Type
Organization
Organization Name
Chukar Haven Anesthesia PC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Feb 15, 2011
Last Updated
Jun 2, 2011

Practice Location

Address
2100 W SUNSET DR
Address 2
ANESTHESIA - MULLINIX
State
Wyoming
ZIP Code
82501-2274
Phone
(307) 856-4161

Authorized Official

Name
MATTHEW ALLFORD MULLINIX, CRNA
Title
PRESIDENT
Phone
(307) 856-4161

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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Provider Name
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