Whalio Doctors

NPI 1053682229

John Brandon Cory, CRNA

Practitioner Certified Registered Nurse Anesthetist Twin Falls, ID

Practice location

Address
801 Pole Line Rd W, Twin Falls, ID 83301
Phone
(208) 814-1000
Mailing address
650 Addison Ave W, Twin Falls, ID 83301-5444

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RNA-819A (ID)
Certified Registered Nurse Anesthetist
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 102238 (MT)

Registry record

NPI
1053682229
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Jan 2012
Record last updated
15 May 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.