Organization
BRUCE HARDING CRNA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE HARDING CRNA (PRESIDENT)
(208) 525-2090
Entity
Organization
Contact information
Practice address
115 FALLS AVE W, TWIN FALLS, ID 83301-3115
(208) 733-1662
Mailing address
PO BOX 3545, IDAHO FALLS, ID 83403-3545
(208) 525-2090
(208) 525-2662
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
N-24486
ID
Other
Enumeration date
12/15/2006
Last updated
09/16/2008
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