Organization
GLASSBRENNER ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER GLASSBRENNER CRNA (OWNER)
(308) 430-3993
Entity
Organization
Contact information
Practice address
2820 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-5462
(605) 388-5595
Mailing address
PO BOX 2655, IDAHO FALLS, ID 83403-2655
(208) 525-2090
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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