# MOUNTAIN ANESTHESIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326435157
- **Authorized official:** DR. DUSTIN JAMES ROBERTS M.D. (ANESTHESIOLOGIST/MANAGER)
- **Authorized official phone:** (757) 642-3235

## Contact information

- **Practice address:** 1233 E 2ND ST, CASPER, WY 82601-2926
- **Practice address phone:** (307) 577-7201
- **Mailing address:** 620 WARREN AVE, CHESAPEAKE, VA 23322-3827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 10068A | WY | Yes |

## Other

- **Enumeration date:** 04/20/2015
- **Last updated:** 04/20/2015