Rocky Mountain Anesthesia Pllc

NPI #1811059876 in Rexburg, Idaho

Provider Information

NPI Number
1811059876
Entity Type
Organization
Organization Name
Rocky Mountain Anesthesia Pllc
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Dec 15, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
36 PROFESSIONAL PLZ
Address 2
SUITE 100
State
Idaho
ZIP Code
83440-2049
Phone
(208) 656-8442

Authorized Official

Name
ANTHONY HARWARD, CRNA
Title
PRESIDENT
Phone
(208) 525-2090

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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