Organization
VALLEY ANESTHESIA, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK DITTO III M.D. (PRESIDENT)
(208) 743-2511
Entity
Organization
Contact information
Practice address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 743-2511
Mailing address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 743-2511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002742700
—
ID
05
—
002742900
—
ID
Enumeration date
06/21/2007
Last updated
05/06/2008
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