Whalio Doctors

NPI 1073795985

Ryan C Golob, CRNA

Practitioner Certified Registered Nurse Anesthetist Coeur D Alene, ID

Practice location

Address
2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051
Phone
(208) 666-2000
Mailing address
2204 Ironwood Pl STE B, Coeur D Alene, ID 83814-2662

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RNA-866A (ID)
Certified Registered Nurse Anesthetist
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 160305 (CO)

Registry record

NPI
1073795985
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Dec 2007
Record last updated
6 Nov 2017

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.