Individual
TODD K. MCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
701 LEWISTON ST, COTTONWOOD, ID 83522-9750
(208) 962-3267
Mailing address
PO BOX 310, GRANGEVILLE, ID 83530-0310
(530) 864-3322
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3495/616419
CA
Other
Enumeration date
07/22/2009
Last updated
11/29/2021
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