Jackson Hole Anesthesia Services

NPI #1942364567 in Jackson, Wyoming

Provider Information

NPI Number: 1942364567
Entity Type: Organization
Organization Name: Jackson Hole Anesthesia Services
Primary Specialty: Anesthesiology
Enumeration Date: Dec 20, 2006
Last Updated: Jun 19, 2008

Practice Location

Address: 150 BUFFALO WAY
City: Jackson
State: Wyoming
ZIP Code: 83002
Phone: (307) 733-8677

Authorized Official

Name: PHILIP C BLUM, MD
Title: PRESIDENT
Phone: (208) 525-2090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiology	207L00000X	Primary

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