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Organization

PEAK ANESTHESIA SERVICES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LAURI LOUISE FERRARO CRNA (PRESIDENT)
(406) 585-8428
Entity
Organization

Contact information

Practice address
300 N WILLSON AVE, SAME DAY SURGERY CENTER, BOZEMAN, MT 59715-3551
(406) 586-1956
(406) 587-7656
Mailing address
300 N WILLSON AVE, SAME DAY SURGERY CENTER, BOZEMAN, MT 59715-3551
(406) 586-1956
(406) 587-7656

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
23075
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000006646
MEDICARE (INDIVIDUAL)
MT
01
000084505
MEDICARE (GROUP)
MT
01
1699851543
MEDICARE INDIVIDUAL NPI
MT
05
4305216
MT
Enumeration date
11/30/2007
Last updated
12/08/2009
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