Tobacco Root Anesthesiology, LLC
NPI #1811918998 in Three Forks, Montana
Provider Information
- NPI Number
- 1811918998
- Entity Type
- Organization
- Organization Name
- Tobacco Root Anesthesiology, LLC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Jul 22, 2006
- Last Updated
- Feb 12, 2014
Practice Location
- Address
- 7 VANDOLAH RD
- City
- Three Forks
- State
- Montana
- ZIP Code
- 59752-8673
- Phone
- (406) 285-6588
Authorized Official
- Name
- MARK E VANDOLAH, CRNA,MAE
- Title
- PRESIDENT
- Phone
- (406) 285-6588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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