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Individual

JOHN BRANDON CORY

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
(208) 814-1000
Mailing address
650 ADDISON AVE W, TWIN FALLS, ID 83301-5444
(208) 734-7362

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
102238
MT
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-819A
ID

Other

Enumeration date
01/20/2012
Last updated
05/15/2018
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