Organization
COEUR D' ALENE ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD ROCK CRNA (PRESIDENT)
(208) 262-2314
Entity
Organization
Contact information
Practice address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2314
(208) 262-2394
Mailing address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2314
(208) 262-2394
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/10/2005
Last updated
08/22/2020
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