# ANESTHESIA ASSOCIATES OF LARAMIE LLC

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

## Provider details

- **NPI number:** 1548364888
- **Authorized official:** MR. JOHN DAVID CRECCA M.D. (PRESIDENT)
- **Authorized official phone:** (307) 760-9897

## Contact information

- **Practice address:** 255 N 30TH ST, LARAMIE, WY 82072-5140
- **Practice address phone:** (307) 742-2141
- **Mailing address:** PO BOX 1562, IDAHO FALLS, ID 83403-1562
- **Mailing address phone:** (208) 525-2090
- **Mailing address fax:** (208) 523-8978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2006
- **Last updated:** 10/10/2016