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Organization

WESTERN DIVIDE ANESTHESIA, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY F PAL MD (OWNER)
(970) 846-2852
Entity
Organization

Contact information

Practice address
1524 W 5TH ST, SHERIDAN, WY 82801-2707
(307) 672-7874
Mailing address
PO BOX 3610, IDAHO FALLS, ID 83403-3610
(208) 525-2090
(208) 523-8978

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
10772A
WY

Other

Enumeration date
10/02/2017
Last updated
11/01/2017
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