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Organization

GRIFFIN ANESTHESIA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARY GRIFFIN CRNA (OWNER)
(208) 251-9958
Entity
Organization

Contact information

Practice address
1157 CALL PL, POCATELLO, ID 83201-4008
(208) 238-6337
Mailing address
PO BOX 3503, IDAHO FALLS, ID 83403-3503
(208) 525-2090
(208) 523-8978

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
10/04/2018
Last updated
10/04/2018
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