Organization
T-MEDICA MOBIL ANESTHESIA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY LEE SKIDMORE CRNA (OWNER)
(208) 339-5492
Entity
Organization
Contact information
Practice address
3520 E LOUISE DR, MERIDIAN, ID 83642-6304
(250) 888-8090
Mailing address
PO BOX 2681, IDAHO FALLS, ID 83403-2681
(208) 525-2090
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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