NPI 1558304329

Intermountain Anesthesia, PA

Organisation Anesthesiology Physician Idaho Falls, ID

Practice location

Address: 3100 Channing Way, Idaho Falls, ID 83404-7533
Phone: (208) 529-6269
Mailing address: PO Box 94289, Ms 631130, Seattle, WA 98124-6589

Authorised official

Name: Jeffrey Taylor
Title: Crna
Phone: (866) 487-0277

Registered specialties (2)

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X

Other Anesthesiology providers in Idaho →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X

Other Nurse Anesthetist, Certified Registered providers in Idaho →

Registry record

NPI: 1558304329
Entity type: Organization
NPI issued: 13 Jun 2006
Record last updated: 23 Jul 2019

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.