Grove City Anesthesia LLC

NPI #1144511452 in Blackfoot, Idaho

Provider Information

NPI Number
1144511452
Entity Type
Organization
Organization Name
Grove City Anesthesia LLC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Apr 21, 2011
Last Updated
Dec 9, 2016

Practice Location

Address
1485 PARKWAY DR
State
Idaho
ZIP Code
83221-1667
Phone
(208) 785-5100

Authorized Official

Name
MR. BLAKE G PURCELL, CRNA
Title
PRES
Phone
(208) 313-0175

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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