Randall S Zager
Nurse Anesthetist, Certified Registered in Boise, ID. Individual provider (NPI-1).
NPI number1619085271
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1619085271
- Entity type
- Individual (NPI-1)
- Name
- Mr. Randall S Zager
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RNA-112 | ID | Yes |
Practice location
111 W State StBoise, ID 83702-6127
Phone 208-336-0895
Mailing address
111 W State StBoise, ID 83702-6127
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