OrganizationActive
Grand Anesthesiology Services PC
NPI 1477567246 · Anesthesiology Physician · Jackson, WY
Provider details
- NPI number
- 1477567246
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Marc Domsky, President
Practice location
625 E Broadway
Jackson, WY 83001
Phone: (800) 877-7078
Fax: (307) 739-7446
Mailing address
Po Box 1501
Idaho Falls, ID 83403-1501
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2008-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.