Organization
ORTHOPEDIC AMBULATORY ANESTHESIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET HALDIS KASPAR MD (PRESIDENT/OWNER)
(208) 939-4704
Entity
Organization
Contact information
Practice address
1425 W RIVER ST, BOISE, ID 83702-6861
(208) 342-1932
Mailing address
PO BOX 904, BOISE, ID 83701-0904
(503) 372-2740
(503) 372-2755
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806281000
—
ID
01
—
8F504
BLUE CROSS
ID
Enumeration date
08/15/2007
Last updated
05/20/2010
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