OrganizationActive
Jackson Hole Anesthesia Services
NPI 1942364567 · Anesthesiology Physician · Jackson, WY
Provider details
- NPI number
- 1942364567
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Philip Blum, President(208) 525-2090
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Certified Registered Nurse Anesthetist367500000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
150 Buffalo Way
Jackson, WY 83002
Phone: (307) 733-8677
Approximate (ZIP-level) locationGet directions
Mailing address
1601 E 17th St
Idaho Falls, ID 83404-6313
Registry dates
- Enumerated
- 2006-12-20
- Last updated
- 2008-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.