Grant Gundersen, CNRA

NPI #1467863829 in Blackfoot, Idaho

Provider Information

NPI Number
1467863829
Entity Type
Individual
Name
Grant Gundersen, CNRA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CNRA
Enumeration Date
May 19, 2014
Last Updated
May 19, 2014

Practice Location

Address
646 W 300 S
State
Idaho
ZIP Code
83221-6334
Phone
(208) 760-7529

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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