Individual
MR. CHET DANSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-1000
Mailing address
984 HANKINS RD, TWIN FALLS, ID 83301-8225
(208) 961-1769
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
57630
ID
Other
Enumeration date
09/19/2017
Last updated
01/31/2018
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