Intermountain Ambulatory Anesthesia Pllc

NPI #1073546289 in Meridian, Idaho

Provider Information

NPI Number: 1073546289
Entity Type: Organization
Organization Name: Intermountain Ambulatory Anesthesia Pllc
Primary Specialty: Anesthesiology
Enumeration Date: Jul 9, 2006
Last Updated: Feb 23, 2022

Practice Location

Address: 875 S VANGUARD WAY
City: Meridian
State: Idaho
ZIP Code: 83642-8540
Phone: (208) 373-5000

Authorized Official

Name: DR. KIRK MILLER, M.D.
Title: MEMBER
Phone: (208) 960-0870

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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