Robert L Ellison, CRNA

NPI #1265425714 in Moscow, Idaho

Provider Information

NPI Number
1265425714
Entity Type
Individual
Name
Robert L Ellison, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Aug 30, 2005
Last Updated
Jul 13, 2010

Practice Location

Address
2300 W A ST
City
Moscow
State
Idaho
ZIP Code
83843-4038
Phone
(208) 883-1500

Specialties & Taxonomy Codes

Specialty
Anesthesiology
Nurse Anesthetist, Certified Registered

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