Organization
MONROE ANESTHESIA SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW L MONROE CRNA (OWNER)
(208) 312-7321
Entity
Organization
Contact information
Practice address
1501 HILAND AVE, BURLEY, ID 83318-2688
(208) 525-2090
(208) 523-8978
Mailing address
PO BOX 724, BURLEY, ID 83318-0724
(208) 312-7321
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N-31144
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891877858
—
ID
Enumeration date
12/02/2013
Last updated
12/02/2013
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