Coeur D' Alene Anesthesia

NPI #1093796468 in Post Falls, Idaho

Provider Information

NPI Number: 1093796468
Entity Type: Organization
Organization Name: Coeur D' Alene Anesthesia
Primary Specialty: Specialist
Enumeration Date: Nov 10, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 1593 E POLSTON AVE
City: Post Falls
State: Idaho
ZIP Code: 83854-5326
Phone: (208) 262-2314

Authorized Official

Name: RONALD ROCK, CRNA
Title: PRESIDENT
Phone: (208) 262-2314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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