Intermountain Anesthesia Associates Pllc

NPI #1609413343 in Lewiston, Idaho

Provider Information

NPI Number
1609413343
Entity Type
Organization
Organization Name
Intermountain Anesthesia Associates Pllc
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Dec 2, 2019
Last Updated
Mar 16, 2020

Practice Location

Address
318 WARNER DR
State
Idaho
ZIP Code
83501-4441
Phone
(208) 298-1050

Authorized Official

Name
DUSTIN ELBEN, CRNA
Title
PRESIDENT
Phone
(509) 552-6666

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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