Eagle Rock Anesthesia Pllc
NPI #1174602684 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1174602684
- Entity Type
- Organization
- Organization Name
- Eagle Rock Anesthesia Pllc
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Nov 3, 2006
- Last Updated
- Mar 7, 2008
Practice Location
- Address
- 2325 CORONADO ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7407
- Phone
- (208) 557-2700
Authorized Official
- Name
- SCOTT C NELSON, MD
- Title
- MEMBER
- Phone
- (208) 557-2700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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