Organization
NORTHERN WYOMING SURGICAL ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMIE BILES MD (CHAIRMAN)
(307) 587-2139
Entity
Organization
Contact information
Practice address
732 LINDSAY LN, CODY, WY 82414-4103
(307) 587-2139
Mailing address
732 LINDSAY LN, CODY, WY 82414-4103
(307) 587-2139
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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