Innovative Anesthesia

NPI #1902036734 in Ponderay, Idaho

Provider Information

NPI Number
1902036734
Entity Type
Organization
Organization Name
Innovative Anesthesia
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Jul 14, 2009
Last Updated
Jul 14, 2009

Practice Location

Address
30544 HIGHWAY 200 STE 201
Address 2
PEND OREILLE SURGERY CENTER
State
Idaho
ZIP Code
83852-5005
Phone
(208) 265-8194

Authorized Official

Name
BRUCE DEMKO
Title
PARTNER
Phone
(208) 265-3534

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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Provider Name
MR. Bruce William Demko, CRNANewBizBotAI Deep Dive

Organizations

Provider Name
Knopp Anesthesia Services LLCNewBizBotAI Deep Dive
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