Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glacier Anesthesia Services

Organization Anesthesiology Physician · NPI 1578627246

Glacier Anesthesia Services is an Anesthesiology Physician in Jackson, Wyoming. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

150 Buffalo Way
Jackson, WY 83002
Phone: (307) 733-8677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X
Anesthesiology Physician Taxonomy 207L00000X

Record details

NPI number1578627246
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Blum — President · (208) 525-2090
NPI enumeratedDecember 20, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address1601 E 17th St, Idaho Falls, ID 83404-6313

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