network|NPI|TIN|Name|FirstName|MI|LastName|Degree|Specialty|Address|City|State|Zip|Phone|TermDate|ReportDate
WISE|1003897646|134310888||DAVID||JOLY|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4066574000|2023-06-30|2022-08-15
WISE|1013362862|134310888||TYSEN||TRUJILLO|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4066574000|2023-06-30|2022-08-15
WISE|1023085545|134310888||DOUGLAS||HARTNETT|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4066574000|2023-06-30|2022-08-15
WISE|1043437304|134310888||KENNETH|E|LANGEN|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4066574000|2023-06-30|2022-08-15
WISE|1073650511|134310888||JEFFREY|T|BOLKA|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4066574000|2023-06-30|2022-08-15
WISE|1073716205|134310888||FIONA|M|BUCKLEY|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4066574000|2023-06-30|2022-08-15
WISE|1093782534|134310888||JASON|F|KARRO|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4066574000|2023-06-30|2022-08-15
WISE|1124799770|870516264||HAYLEY|A|JOLLEY|NP|Family Practice|1248 E 900 N STE 102|AMERICAN FORK|UT|84003|8017569132|2022-08-08|2022-08-15
WISE|1124799770|870516264||HAYLEY|A|JOLLEY|NP|Family Practice|1248 E 900 N STE 103|AMERICAN FORK|UT|84003|8018529560|2022-08-08|2022-08-15
WISE|1184677981|134310888||LAWRENCE|A|ALVARADO|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4066574000|2023-06-30|2022-08-15
WISE|1205970886|134310888||BENJAMIN|D|SWOBODA|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4066574000|2023-06-30|2022-08-15
WISE|1215958921|134310888||AMY|K|MOUAT-HUNTER|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4066574000|2023-06-30|2022-08-15
WISE|1285654558|134310888||KEVIN|W|BOZARTH|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4066574000|2023-06-30|2022-08-15
WISE|1306854914|134310888||CHERI||CONNER|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4066574000|2023-06-30|2022-08-15
WISE|1336165182|134310888|GALLATIN VALLEY ANESTHESIA ASSOCIAT|||||Anesthesiology|1450 ELLIS ST|BOZEMAN|MT|59715|4065569000|2023-06-30|2022-08-15
WISE|1336165182|134310888|GALLATIN VALLEY ANESTHESIA ASSOCIAT|||||Anesthesiology|1994 STADIUM DR|BOZEMAN|MT|59715|4065870767|2023-06-30|2022-08-15
WISE|1336165182|134310888|GALLATIN VALLEY ANESTHESIA ASSOCIAT|||||Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4066574000|2023-06-30|2022-08-15
WISE|1336165182|134310888|GALLATIN VALLEY ANESTHESIA ASSOCIAT|||||Anesthesiology|300 N WILLSON AVE STE 600F|BOZEMAN|MT|59715|4044141956|2023-06-30|2022-08-15
WISE|1336165182|134310888|GALLATIN VALLEY ANESTHESIA ASSOCIAT|||||Anesthesiology|320 ALPENGLOW LN|LIVINGSTON|MT|59047|4062223541|2023-06-30|2022-08-15
WISE|1336165182|134310888|GALLATIN VALLEY ANESTHESIA ASSOCIAT|||||Anesthesiology|5031 COTTONWOOD RD STE 100|BOZEMAN|MT|59718|4062192800|2023-06-30|2022-08-15
WISE|1336165182|134310888|GALLATIN VALLEY ANESTHESIA ASSOCIAT|||||Anesthesiology|536 S COTTONWOOD RD STE 102|LIVINGSTON|MT|59047|4065486300|2023-06-30|2022-08-15
WISE|1336165182|134310888|GALLATIN VALLEY ANESTHESIA ASSOCIAT|||||Anesthesiology|915 HIGHLAND BLVD|BOZEMAN|MT|59715|4064145000|2023-06-30|2022-08-15
WISE|1437100328|134310888||ANDREW|H|MAXINER|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4066574000|2023-06-30|2022-08-15
WISE|1477538155|134310888||WALLACE|J|HAYASAKA|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4066574000|2023-06-30|2022-08-15
WISE|1497011662|134310888||CHRISTOPHER|J|THACKER|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4066574000|2023-06-30|2022-08-15
WISE|1558647727|820425454||ALEXIS|D|MASON|CRNA|Nurse Anesthetist|PO BOX 3750|SALT LAKE CITY|UT|84110||2022-06-01|2022-08-15
WISE|1568801892|134310888||CARLO|J|PETRILLO|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4066574000|2023-06-30|2022-08-15
WISE|1588809834|134310888||MATTHEW||FRITSCH|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4066574000|2023-06-30|2022-08-15
WISE|1639373657|134310888||DIERDRE|V|STRIGENZ|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4066574000|2023-06-30|2022-08-15
WISE|1669660445|134310888||JEFFREY|D|SCHEIHING|DO|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4066574000|2023-06-30|2022-08-15
WISE|1689739294|134310888||TRISHA|J|MITCHELL|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4066574000|2023-06-30|2022-08-15
WISE|1689936023|134310888||JESSICA|L|FARRAR|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4066574000|2023-06-30|2022-08-15
WISE|1750301388|134310888||JOHN|H|MEYER|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4066574000|2023-06-30|2022-08-15
WISE|1861541419|870482436||MICHAEL|D|BROWN|OD|Optometry|2727 W 3500 S|WEST VALLEY CITY|UT|84119|8019686772|2022-04-09|2022-08-15
WISE|1871804369|134310888||ANDREW||LYONS|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4066574000|2023-06-30|2022-08-15
WISE|1912440926|352439145||ALEXANDRA|L|SENG|ACMHC|Counseling|10702 S 300 W|SOUTH JORDAN|UT|84095|8888011556|2022-07-15|2022-08-15
WISE|1912440926|352439145||ALEXANDRA|L|SENG|ACMHC|Counseling|2909 WASHINGTON BLVD|OGDEN|UT|84401|8888011556|2022-07-15|2022-08-15
WISE|1912440926|352439145||ALEXANDRA|L|SENG|ACMHC|Counseling|5663 S REDWOOD RD STE 9|SALT LAKE CITY|UT|84123|8888011556|2022-07-15|2022-08-15
WISE|1922363092|134310888||ZACHARY|R|HESSE|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4066574000|2023-06-30|2022-08-15
WISE|1932420684|134310888||LUKE|W|VAN ALSTINE|MD|Anesthesiology|2800 10TH AVE N|BILLINGS|MT|59101|4066574000|2023-06-30|2022-08-15