NPI 1407353428

Advanced Anesthesia, LLC

Organisation Certified Registered Nurse Anesthetist Pocatello, ID

Practice location

Address: 1155 Pocatello Creek Rd, Pocatello, ID 83201-2949
Phone: (208) 238-6337
Mailing address: 115 Canyon Rd, Montpelier, ID 83254-1218

Authorised official

Name: Dorian S. Grunig
Title: President
Phone: (208) 390-7757

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RNA613A

Other Nurse Anesthetist, Certified Registered providers in Idaho →

Registry record

NPI: 1407353428
Entity type: Organization
NPI issued: 6 Apr 2018
Record last updated: 6 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.