Inland Anesthesia

NPI #1255324653 in Moscow, Idaho

Provider Information

NPI Number: 1255324653
Entity Type: Organization
Organization Name: Inland Anesthesia
Primary Specialty: Anesthesiology
Enumeration Date: Aug 31, 2005
Last Updated: Mar 27, 2008

Practice Location

Address: 2300 W A ST
City: Moscow
State: Idaho
ZIP Code: 83843-4038
Phone: (208) 882-7530

Authorized Official

Name: DR. ROBERT SMITH
Title: DELEGATED OFFICIAL
Phone: (208) 882-7530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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