Organization
KODIAK ANESTHESIA PC
Active
Other names
Matthew D.Chynoweth
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW D CHYNOWETH (PRESIDENT)
(307) 473-8173
Entity
Organization
Contact information
Practice address
4850 CHINOOK TRL, CASPER, WY 82604-5201
(307) 473-8173
Mailing address
4850 CHINOOK TRL, CASPER, WY 82604-5201
(307) 473-8173
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
7192A
WY
Other
Enumeration date
10/08/2014
Last updated
12/04/2019
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