MR. Bruce William Demko, CRNA

NPI #1780651539 in Ponderay, Idaho

Provider Information

NPI Number
1780651539
Entity Type
Individual
Name
MR. Bruce William Demko, CRNA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Mar 1, 2006
Last Updated
Apr 13, 2012

Practice Location

Address
30544 HIGHWAY 200
State
Idaho
ZIP Code
83852-5005
Phone
(208) 255-8013

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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