Organization
PINTLER PEAKS ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANA MARIE TAYLOR CRNA (SOLE PROPRIETOR)
(406) 563-0675
Entity
Organization
Contact information
Practice address
2111 GARFIELD ST, ANACONDA, MT 59711-1719
(406) 563-0675
Mailing address
2111 GARFIELD ST, ANACONDA, MT 59711-1719
(406) 563-0675
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
25506
MT
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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