Organization
PHYSICIANS ANESTHESIA OF SWEETWATER COUNTY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDMUND BOESE M.D. (AUTHORIZED REPRESENTATIVE)
(307) 362-3711
Entity
Organization
Contact information
Practice address
1200 COLLEGE DR, ROCK SPRINGS, WY 82901-5868
(307) 362-3711
Mailing address
744 W MICHIGAN AVE, JACKSON, MI 49201-1909
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/10/2006
Last updated
08/22/2020
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