3 Peaks Anesthesia, INC
Nurse Anesthetist, Certified Registered in Idaho Falls, ID. Organization (NPI-2).
NPI number1962030627
StatusActive
Last updated in NPPESApr 28, 2020
Details
- NPI
- 1962030627
- Entity type
- Organization (NPI-2)
- Legal business name
- 3 Peaks Anesthesia, INC
- Organization subpart
- No
- Enumeration date
- Mar 30, 2020
- Certification date
- Apr 28, 2020
- Last updated
- Apr 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | – | – | Yes |
Practice location
2375 E Sunnyside RdIdaho Falls, ID 83404-8280
Phone 208-557-2767
Mailing address
3555 Potomac WayIdaho Falls, ID 83404-4985
Phone 208-525-2090 · Fax 208-523-8978
Authorized official
Henry Michael Adams
Owner
2085695698
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