Organization
MISSOULA ANESTHESIOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA P GILLETT-BRETZ (OFFICE MANAGER)
(406) 728-8420
Entity
Organization
Contact information
Practice address
2825 STOCKYARD RD, MISSOULA, MT 59808-1503
(406) 728-8420
(406) 541-8430
Mailing address
PO BOX 94484, SEATTLE, WA 98124-6784
(406) 728-8420
(406) 541-8430
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05041300
—
ID
05
—
114103100
—
WY
Enumeration date
05/20/2006
Last updated
01/26/2023
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