Moscow Mountain Anesthesia, Pllc
NPI #1275074486 in Moscow, Idaho
Provider Information
- NPI Number
- 1275074486
- Entity Type
- Organization
- Organization Name
- Moscow Mountain Anesthesia, Pllc
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Mar 20, 2017
- Last Updated
- Feb 13, 2024
Practice Location
Authorized Official
- Name
- EDWARD WINTERBOTTOM, CRNA
- Title
- PRESIDENT
- Phone
- (208) 883-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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