Healthcare Provider Details

I. General information

NPI: 1407038490
Provider Name (Legal Business Name): PEAK ANESTHESIA SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2007
Last Update Date: 12/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N WILLSON AVE SAME DAY SURGERY CENTER
BOZEMAN MT
59715-3551
US

IV. Provider business mailing address

300 N WILLSON AVE SAME DAY SURGERY CENTER
BOZEMAN MT
59715-3551
US

V. Phone/Fax

Practice location:
  • Phone: 406-586-1956
  • Fax: 406-587-7656
Mailing address:
  • Phone: 406-586-1956
  • Fax: 406-587-7656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number23075
License Number StateMT

VIII. Authorized Official

Name: MS. LAURI LOUISE FERRARO
Title or Position: PRESIDENT
Credential: CRNA
Phone: 406-585-8428