Organization
SISC ANESTHESIA INC
Active
Organization
SISC ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETT PONCE (BILLING)
(208) 895-1908
Entity
Organization
Contact information
Practice address
3235 N TOWERBRIDGE WAY STE 100, MERIDIAN, ID 83646-5721
(208) 895-1908
(208) 895-1908
Mailing address
3235 N TOWERBRIDGE WAY STE 100, MERIDIAN, ID 83646-5721
(208) 895-1908
(208) 895-1908
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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