KODIAK ANESTHESIA PC
Medical Practice at 2 St, Casper, WY

License number
Wyoming 7192A
Category
Medical Practice
Type
Medical Genetics, Ph.D. Medical Genetics
Owner
Name: MATTHEW D. CHYNOWETH D.O.
Title: MD
Phone: (307) 237-5848
Address
Address
111 W 2Nd St SUITE 415, Casper, WY 82601
National Provider ID: 1710087689
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Kodiak Anesthesia, PC

Casper, WY

Registration:
Jan 23, 2006
Addresses:
3009 Aspen Dr, Casper, WY 82601 (Physical)
300 Country Clb Rd STE 302, Casper, WY 82609 (Mailing)
State ID:
2006-000506533
Business type:
Profit Corporation - Domestic
Expiration:
Perpetual

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