Centennial Anesthesia Pllc
NPI #1417616558 in Post Falls, Idaho
Provider Information
- NPI Number
- 1417616558
- Entity Type
- Organization
- Organization Name
- Centennial Anesthesia Pllc
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Dec 16, 2021
- Last Updated
- Dec 16, 2021
Practice Location
- Address
- 1725 W STAPLES RD
- City
- Post Falls
- State
- Idaho
- ZIP Code
- 83854-8832
- Phone
- (509) 413-3147
Authorized Official
- Name
- COREY JOHNSON
- Title
- OWNER
- Phone
- (509) 413-3147
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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