Organization
VALLEY ANESTHESIA, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK DITTO III M.D. (PRESIDENT)
(208) 743-2511
Entity
Organization
Contact information
Practice address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 743-2511
Mailing address
3633 PACIFIC AVE, SUITE 204, TACOMA, WA 98418-7900
(253) 274-1668
(253) 274-1685
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002742700
—
ID
05
—
00274290
—
ID
Enumeration date
06/22/2006
Last updated
06/18/2010
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