Organization
SUMMIT ANESTHESIOLOGY CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA A QUINLAN MD (OWNER)
(404) 218-5692
Entity
Organization
Contact information
Practice address
1503 CRESSETT ST, GILLETTE, WY 82716-3339
(307) 349-1840
Mailing address
1601 E 17TH ST, IDAHO FALLS, ID 83404-6313
(208) 525-2090
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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