Blue Lakes Anesthesia
NPI #1073344651 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1073344651
- Entity Type
- Organization
- Organization Name
- Blue Lakes Anesthesia
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Aug 13, 2024
- Last Updated
- Aug 21, 2024
Practice Location
- Address
- 2092 DAWSON DR
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-3195
- Phone
- (208) 734-7362
Authorized Official
- Name
- THAD HOLLIST, CRNA
- Title
- MANAGING MEMBER
- Phone
- (208) 520-0035
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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