Blackfoot Anesthesia Services LLC

NPI #1093826513 in Blackfoot, Idaho

Provider Information

NPI Number
1093826513
Entity Type
Organization
Organization Name
Blackfoot Anesthesia Services LLC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Aug 31, 2006
Last Updated
Mar 7, 2008

Practice Location

Address
98 POPLAR ST
State
Idaho
ZIP Code
83221-1758
Phone
(208) 785-4100

Authorized Official

Name
MR. STEVE MCCLELLAN, CRNA
Title
MEMBER
Phone
(208) 523-4906

Specialties & Taxonomy Codes

Specialty
Anesthesiology
Nurse Anesthetist, Certified Registered

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