Organization
GRAND TETON ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW ZELEZNIK M.D. (ORGANIZER)
(404) 803-6823
Entity
Organization
Contact information
Practice address
150 BUFFALO WAY, JACKSON, WY 83001
(404) 803-6823
Mailing address
150 BUFFALO WAY, JACKSON, WY 83001
(404) 803-6823
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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