NPI 1457658668
Surgery Center Anesthesia PLLC
Practice location
- Address
- 1945 E 17th St, Idaho Falls, ID 83404-6429
- Phone
- (208) 529-1945
- Mailing address
- PO Box 52180, Idaho Falls, ID 83405-2180
Authorised official
- Name
- Keith W Scheuermann
- Title
- Secretary/Treasurere
- Phone
- (208) 529-1945
Registered specialties (2)
Anesthesiology Physician
Primary
Certified Registered Nurse Anesthetist
Registry record
- NPI
- 1457658668
- Entity type
- Organization
- NPI issued
- 24 Feb 2011
- Record last updated
- 3 May 2011
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.