NPI 1013080688
Wyoming Regional Anesthesia LLC
Practice location
- Address
- 111 S 5th Street, Douglas, WY 82633
- Phone
- (307) 358-2122
- Mailing address
- PO Box 1780, Douglas, WY 82633-1780
Authorised official
- Name
- Jeffrey L Green
- Title
- Managing Member
- Phone
- (307) 358-5590
Registered specialties
Certified Registered Nurse Anesthetist
Primary
Registry record
- NPI
- 1013080688
- Entity type
- Organization
- NPI issued
- 15 Nov 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.