Idaho Anesthesia Associates, Pllc

NPI #1831558360 in Idaho Falls, Idaho

Provider Information

NPI Number
1831558360
Entity Type
Organization
Organization Name
Idaho Anesthesia Associates, Pllc
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Feb 11, 2016
Last Updated
Feb 16, 2016

Practice Location

Address
2325 CORONADO ST
State
Idaho
ZIP Code
83404-7407
Phone
(208) 557-2700

Authorized Official

Name
MICHELLE DAWN PAYNE
Title
OWNER/MANAGER
Phone
(208) 525-2090

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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