Macieski Crna PC

NPI #1235327446 in Idaho Falls, Idaho

Provider Information

NPI Number
1235327446
Entity Type
Organization
Organization Name
Macieski Crna PC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Oct 12, 2007
Last Updated
Oct 12, 2007

Practice Location

Address
2325 CORONADO ST
State
Idaho
ZIP Code
83404-7407
Phone
(208) 557-2700

Authorized Official

Name
DENNIS C MACIESKI, CRNA
Title
PRESIDENT
Phone
(208) 523-5172

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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