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Organization
ANESTHESIA ASSOCIATES OF LARAMIE LLC
Active
Organization
ANESTHESIA ASSOCIATES OF LARAMIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DAVID CRECCA M.D. (PRESIDENT)
(307) 760-9897
Entity
Organization
Contact information
Practice address
255 N 30TH ST, LARAMIE, WY 82072-5140
(307) 742-2141
Mailing address
PO BOX 1562, IDAHO FALLS, ID 83403-1562
(208) 525-2090
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/08/2006
Last updated
10/10/2016
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