Jsc Anesthesia PC
NPI #1730300054 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1730300054
- Entity Type
- Organization
- Organization Name
- Jsc Anesthesia PC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- May 2, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1601 E 17TH ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-6313
- Phone
- (208) 525-2090
Authorized Official
- Name
- JOHN CARMICHAEL, CRNA
- Title
- OWNER
- Phone
- (208) 525-2090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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