East Idaho Anesthesia Associates PC

NPI #1750651782 in Blackfoot, Idaho

Provider Information

NPI Number
1750651782
Entity Type
Organization
Organization Name
East Idaho Anesthesia Associates PC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Jan 6, 2012
Last Updated
Jan 6, 2012

Practice Location

Address
98 POPLAR ST
State
Idaho
ZIP Code
83221-1758
Phone
(208) 785-4100

Authorized Official

Name
MR. RYAN T SAYRE, CRNA
Title
PRESIDENT
Phone
(208) 785-4100

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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