Organization
GREAT PLAINS ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOREEN MAE PECAR CRNA (OWNER)
(970) 332-5915
Entity
Organization
Contact information
Practice address
1017 W 7TH ST, WRAY, CO 80758-1420
(970) 332-4811
Mailing address
30598 COUNTY ROAD 20, IDALIA, CO 80735-9784
(970) 332-5915
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
114048
CO
Other
Enumeration date
10/11/2006
Last updated
01/08/2008
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