Organization
DREAM ON ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES L HEYREND CRNA (MEMBER)
(208) 740-4134
Entity
Organization
Contact information
Practice address
351 SW 9TH ST, ONTARIO, OR 97914-2639
(541) 881-7146
Mailing address
PO BOX 2642, IDAHO FALLS, ID 83403-2642
(208) 552-8774
(208) 523-2025
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/19/2010
Last updated
02/26/2010
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