# ANESTHESIA ASSOCIATES OF POCATELLO, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891918983
- **Authorized official:** MS. CAROL GILBERT CPC, CPMA (PRACTICE MANAGER)
- **Authorized official phone:** (208) 232-7760

## Contact information

- **Practice address:** 333 N 18TH AVE, SUITE A, POCATELLO, ID 83201
- **Practice address phone:** (208) 233-8880
- **Practice address fax:** (208) 232-1950
- **Mailing address:** PO BOX 4107, POCATELLO, ID 83205-4107
- **Mailing address phone:** (208) 232-7760
- **Mailing address fax:** (208) 232-1950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 09/24/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 002797400 | — | ID |
| 05 | — | 002797500 | — | ID |
| 01 | — | CD5673 | RAILROAD MEDICARE GROUP PTAN | ID |