Organization
PULLMAN ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREY D JOHNSON CRNA (PRESIDENT)
(801) 254-6316
Entity
Organization
Contact information
Practice address
835 SE BISHOP BLVD, PULLMAN, WA 99163-5512
(801) 254-6316
Mailing address
PO BOX 3810, SALT LAKE CITY, UT 84110-3810
(801) 254-6316
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
03/04/2020
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