Organization
SIGNATURE ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORA CASANOVA RIGSBY DO (PRESIDENT)
(480) 686-1680
Entity
Organization
Contact information
Practice address
3600 OVERDALE DR, GILLETTE, WY 82718-7631
(480) 686-1680
Mailing address
3600 OVERDALE DR, GILLETTE, WY 82718-7631
(480) 686-1680
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
10067A
WY
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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