Pullman Anesthesia Pllc
NPI #1023676004 in Pullman, Washington
Provider Information
- NPI Number
- 1023676004
- Entity Type
- Organization
- Organization Name
- Pullman Anesthesia Pllc
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Jun 4, 2019
- Last Updated
- Mar 4, 2020
Practice Location
- Address
- 835 SE BISHOP BLVD
- City
- Pullman
- State
- Washington
- ZIP Code
- 99163-5512
- Phone
- (801) 254-6316
Authorized Official
- Name
- COREY D JOHNSON, CRNA
- Title
- PRESIDENT
- Phone
- (801) 254-6316
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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