Individual
DR. SCOTT HAVARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(207) 745-4081
Mailing address
4199 POCONO ST, IDAHO FALLS, ID 83404-4203
(207) 745-4081
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
75365
ID
367500000X
Certified Registered Nurse Anesthetist
AP131392
TX
Other
Enumeration date
12/20/2013
Last updated
09/04/2024
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