St. Mary's Hospital
NPI #1245433739 in Cottonwood, Idaho
Provider Information
- NPI Number
- 1245433739
- Entity Type
- Organization
- Organization Name
- St. Mary's Hospital
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Jun 11, 2007
- Last Updated
- May 11, 2009
Practice Location
- Address
- 701 LEWISTON ST
- City
- Cottonwood
- State
- Idaho
- ZIP Code
- 83522
- Phone
- (208) 962-3251
Authorized Official
- Name
- THERESA A UPTMOR
- Title
- DIRECTOR BUSINESS SERVICES
- Phone
- (208) 962-2301
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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