Moose Creek Anesthesia PC
NPI #1922990035 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1922990035
- Entity Type
- Organization
- Organization Name
- Moose Creek Anesthesia PC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Jul 15, 2025
- Last Updated
- Nov 6, 2025
Practice Location
- Address
- 3925 WASHINGTON PKWY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7596
- Phone
- (208) 201-4973
Authorized Official
- Name
- TERESA TEGAN
- Title
- CREDENTIALING & BILLING
- Phone
- (208) 734-7362
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
Additional Practice Locations
23 Sawtelle Ave
Rexburg, ID, 83440-1499
(208) 734-7362
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