Individual
MR. JEREMY CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
216 14TH AVE SW, SIDNEY, MT 59270-3519
(406) 488-2100
Mailing address
216 14TH AVE SW, SIDNEY, MT 59270-3519
(406) 488-2100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
37444
MT
Other
Enumeration date
02/18/2009
Last updated
02/24/2024
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