Individual
JASON COLE SEMCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 529-6111
Mailing address
1426 N 1100 E, SHELLEY, ID 83274-5114
(661) 333-1676
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9471964
ID
Other
Enumeration date
05/26/2025
Last updated
07/09/2025
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