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

Grand Anesthesiology Services PC

Organization Anesthesiology Physician · NPI 1477567246

Grand Anesthesiology Services PC is an Anesthesiology Physician in Jackson, Wyoming. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

625 E Broadway
Jackson, WY 83001
Phone: (800) 877-7078
Fax: (307) 739-7446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1477567246
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marc Domsky — President · (307) 739-7218
NPI enumeratedJuly 28, 2006
Last updated in NPPESMarch 3, 2008
Mailing addressPo Box 1501, Idaho Falls, ID 83403-1501

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