Organization
SAN JUAN ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL WALTER RINNE M.D. (MANAGER)
(307) 630-3056
Entity
Organization
Contact information
Practice address
816 N 2ND ST, MONTROSE, CO 81401-3738
(307) 630-3056
Mailing address
PO BOX 62, MONTROSE, CO 81401
(307) 630-3056
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0042352
CO
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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