NPI 1053440644

Beth Larae Amos, CFA

Practitioner Surgical Technologist Caldwell, ID

Practice location

Address: 404 E Elm St, Caldwell, ID 83605-4846
Phone: (208) 459-0028
Fax: (208) 459-0380
Mailing address: 12262 W Mellow CT, Boise, ID 83709-5180

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence 83259 (ID)

Other Specialist/Technologist, Other providers in Idaho →

Registry record

NPI: 1053440644
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Mar 2007
Record last updated: 8 Jul 2007

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.