Individual
MR. GARY MAX HESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
STAR VALLEY MEDICAL CENTER, 110 HOSPITAL LANE, AFTON, WY 83110
(307) 885-5800
(307) 885-5282
Mailing address
PO BOX 124, 192 BROOKVIEW LANE, SMOOT, WY 83126-0124
(307) 886-3388
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9702.0518
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113582100
—
WI
Enumeration date
07/12/2006
Last updated
10/19/2011
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