Sisc Anesthesia INC

NPI #1013571801 in Meridian, Idaho

Provider Information

NPI Number
1013571801
Entity Type
Organization
Organization Name
Sisc Anesthesia INC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Apr 26, 2019
Last Updated
Apr 26, 2019

Practice Location

Address
3235 N TOWERBRIDGE WAY STE 100
State
Idaho
ZIP Code
83646-5721
Phone
(208) 895-1908

Authorized Official

Name
JEANETT PONCE
Title
BILLING
Phone
(208) 895-1908

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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