Organization
ANESTHESIA ASSOCIATES OF GREAT FALLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT S WEBER (ADMINISTRATOR)
(406) 727-6311
Entity
Organization
Contact information
Practice address
401 15TH AVE S, SUITE 109, GREAT FALLS, MT 59405-4334
(406) 727-6311
(406) 727-1070
Mailing address
401 15TH AVE S, SUITE 109, GREAT FALLS, MT 59405-4334
(406) 727-6311
(406) 727-1070
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4764,5327,8985,9832
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68850
—
MT
05
—
68867
—
MT
05
—
68884
—
MT
05
—
68901
—
MT
05
—
68918
—
MT
05
—
69003
—
MT
Enumeration date
07/19/2005
Last updated
01/21/2010
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