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Individual

MR. BRYAN TODD MERKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 557-2700
Mailing address
PO BOX 3206, IDAHO FALLS, ID 83403-3206
(208) 552-8771
(208) 253-2025

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
21568
ID

Other

Enumeration date
06/07/2010
Last updated
06/07/2010
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