NPI 1073023214

Western Divide Anesthesia, PC

Organisation Anesthesiology Physician Sheridan, WY

Practice location

Address: 1524 W 5th St, Sheridan, WY 82801-2707
Phone: (307) 672-7874
Mailing address: PO Box 3610, Idaho Falls, ID 83403-3610

Authorised official

Name: Jeffrey F Pal
Title: Owner
Phone: (970) 846-2852

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 10772A (WY)

Other Anesthesiology providers in Wyoming →

Registry record

NPI: 1073023214
Entity type: Organization
NPI issued: 2 Oct 2017
Record last updated: 1 Nov 2017

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.