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Individual

NATHAN S CALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
2537 W STATE ST STE 200, BOISE, ID 83702-2200
(208) 336-0895

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
63651
ID

Other

Enumeration date
01/07/2020
Last updated
01/16/2020
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