NPI 1164459236

Douglas Jex, CRNA

Practitioner Certified Registered Nurse Anesthetist Idaho Falls, ID

Practice location

Address: 3100 Channing Way, Idaho Falls, ID 83404-7533
Phone: (208) 529-6269
Mailing address: 255 W Michigan Ave, Jackson, MI 49201-2218

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence N-31662 (ID)

Other Nurse Anesthetist, Certified Registered providers in Idaho →

Registry record

NPI: 1164459236
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jun 2006
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.