Organization
QUALITY SLEEP ANESTHESIA P.C.
Active
Organization
QUALITY SLEEP ANESTHESIA P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG D NEBEKER CRNA (NURSE ANESTHETIST)
(208) 569-5818
Entity
Organization
Contact information
Practice address
3155 CHANNING WAY STE A, IDAHO FALLS, ID 83404
(208) 569-5818
Mailing address
3155 CHANNING WAY STE A, IDAHO FALLS, ID 83404-7534
(208) 569-5818
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
RNA382A
ID
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
Update your record
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