Organization
STAR ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAYTON SANDERS CRNA (OWNER)
(208) 869-1617
Entity
Organization
Contact information
Practice address
3090 E GENTRY WAY STE 100, MERIDIAN, ID 83642-3548
(208) 288-1600
Mailing address
PO BOX 2561, IDAHO FALLS, ID 83403-2561
(208) 525-2090
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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