Kodiak Anesthesia PC

NPI #1710087689 in Casper, Wyoming

Provider Information

NPI Number: 1710087689
Entity Type: Organization
Organization Name: Kodiak Anesthesia PC
Primary Specialty: Anesthesiology
Enumeration Date: Sep 22, 2006
Last Updated: Oct 19, 2021

Practice Location

Address: 111 W 2ND ST
Address 2: SUITE 415
City: Casper
State: Wyoming
ZIP Code: 82601-2454
Phone: (307) 237-5848

Authorized Official

Name: MATTHEW D. CHYNOWETH, D.O.
Title: MD
Phone: (307) 473-8173

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Medical Genetics, Ph.D. Medical Genetics	170100000X
Anesthesiology	207L00000X	Primary

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