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Organization
MOUNTAIN ANESTHESIA LLC
Active
Organization
MOUNTAIN ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN JAMES ROBERTS M.D. (ANESTHESIOLOGIST/MANAGER)
(757) 642-3235
Entity
Organization
Contact information
Practice address
1233 E 2ND ST, CASPER, WY 82601-2926
(307) 577-7201
Mailing address
620 WARREN AVE, CHESAPEAKE, VA 23322-3827
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
10068A
WY
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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