Organization
HIGHLINE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA REED TORMAN (CRNA)
(801) 644-8473
Entity
Organization
Contact information
Practice address
1225 OLD OREGON RD, SODA SPRINGS, ID 83276-5608
(801) 644-8473
Mailing address
1225 OLD OREGON RD, SODA SPRINGS, ID 83276-5608
(801) 644-8473
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-721A
ID
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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