NPI 1053508564
Fremont Anesthesia Associate, PLLC
Practice location
- Address
- 2100 W Sunset Dr, Riverton, WY 82501-2274
- Phone
- (800) 967-1646
- Fax
- (317) 567-2191
- Mailing address
- PO Box 30918, Billings, MT 59116-0918
Authorised official
- Name
- Matthew a Mullinix
- Title
- Managing Group Member
- Phone
- (307) 856-4161
Registered specialties (2)
Certified Registered Nurse Anesthetist
Primary
Anesthesiology Physician
Registry record
- NPI
- 1053508564
- Entity type
- Organization
- NPI issued
- 28 Sep 2007
- Record last updated
- 25 Nov 2009
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.