Anesthesia Services of Jacksonhole, P.c.

NPI #1831383264 in Jackson, Wyoming

Provider Information

NPI Number: 1831383264
Entity Type: Organization
Organization Name: Anesthesia Services of Jacksonhole, P.c.
Primary Specialty: Anesthesiology
Enumeration Date: Aug 29, 2007
Last Updated: Aug 29, 2007

Practice Location

Address: 970 W BROADWAY # 378
City: Jackson
State: Wyoming
ZIP Code: 83001-9475
Phone: (307) 734-6956

Authorized Official

Name: DR. CHARLES L. PAYNE JR., M.D.
Title: PRESIDENT
Phone: (307) 734-6956

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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