Organization
RIVER CITY ANESTHESIA ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BRINKLEY (OFFICE MANAGER)
(208) 457-7067
Entity
Organization
Contact information
Practice address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2314
(208) 262-2394
Mailing address
1581 E EDMONDTON AVE STE 204, POST FALLS, ID 83854-6188
(208) 457-7067
(208) 618-2185
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806674900
—
ID
Enumeration date
11/09/2005
Last updated
11/13/2019
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