Stuart Gall Crna INC

NPI #1932527389 in Ponderay, Idaho

Provider Information

NPI Number
1932527389
Entity Type
Organization
Organization Name
Stuart Gall Crna INC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Apr 2, 2014
Last Updated
Apr 2, 2014

Practice Location

Address
30544 HIGHWAY 200
Address 2
SUITE 201
State
Idaho
ZIP Code
83852-5005
Phone
(208) 304-3128

Authorized Official

Name
MR. STUART GALL
Title
DIRECTOR
Phone
(208) 304-3128

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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