Jed D Hanks, CRNA

NPI #1386992097 in Blackfoot, Idaho

Provider Information

NPI Number
1386992097
Entity Type
Individual
Name
Jed D Hanks, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Aug 28, 2012
Last Updated
Dec 20, 2012

Practice Location

Address
98 POPLAR ST
State
Idaho
ZIP Code
83221-1758
Phone
(208) 785-3830

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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