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Organization

EPIX ANESTHESIA OF CHEYENNE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH PRUITT M.D. (OWNER)
(720) 810-2955
Entity
Organization

Contact information

Practice address
2301 HOUSE AVE, STE 300, CHEYENNE, WY 82001-3176
(844) 793-1380
(770) 559-1231
Mailing address
3949 HOLCOMB BRIDGE RD, STE 300, PEACHTREE CORNERS, GA 30092-2294
(678) 580-1349
(770) 559-1231

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
WY
367500000X
Certified Registered Nurse Anesthetist
Primary
WY

Other

Enumeration date
08/06/2012
Last updated
05/18/2015
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