Crc Anesthesia Pllc
NPI #1326514407 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1326514407
- Entity Type
- Organization
- Organization Name
- Crc Anesthesia Pllc
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Oct 16, 2018
- Last Updated
- Oct 17, 2018
Practice Location
- Address
- 3310 VALENCIA DR
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7502
- Phone
- (208) 525-2090
Authorized Official
- Name
- JEFF TAYLOR, CRNA
- Title
- PARTNER
- Phone
- (208) 716-0022
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology |
| Nurse Anesthetist, Certified Registered |
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