Daniel Anesthesia PC

NPI #1588160881 in Pocatello, Idaho

Provider Information

NPI Number
1588160881
Entity Type
Organization
Organization Name
Daniel Anesthesia PC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Apr 4, 2018
Last Updated
Apr 10, 2018

Practice Location

Address
285 VISTA DR
State
Idaho
ZIP Code
83201-4987
Phone
(208) 478-1704

Authorized Official

Name
BEAU SUMMERS DANIEL, CRNA
Title
PRESIDENT
Phone
(208) 604-7084

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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