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Organization

CLOUD PEAK ANESTHESIA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AARON HALL CRNA (OWNER)
(307) 696-5490
Entity
Organization

Contact information

Practice address
1307 W 3RD ST STE B, GILLETTE, WY 82716-3343
(307) 686-8283
Mailing address
PO BOX 1385, IDAHO FALLS, ID 83403-1385
(208) 525-2090
(208) 523-8978

Taxonomy

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

Other

Enumeration date
12/03/2018
Last updated
12/03/2018
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