Olena Medical Wyoming LLC

NPI #1780128967 in Gillette, Wyoming

Provider Information

NPI Number: 1780128967
Entity Type: Organization
Organization Name: Olena Medical Wyoming LLC
Primary Specialty: Anesthesiology
Enumeration Date: Dec 7, 2016
Last Updated: Dec 7, 2016

Practice Location

Address: 222 S GILLETTE AVE
Address 2: SUITE 705
City: Gillette
State: Wyoming
ZIP Code: 82716-3743
Phone: (307) 622-4277

Authorized Official

Name: DR. HARSHVARDHAN NANDKISHOR CHAOBAL, D.O.
Title: PRINCIPAL
Phone: (307) 622-4277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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