Organization
MAXFIELD ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT MAXFIELD CRNA (PRES)
(208) 757-2754
Entity
Organization
Contact information
Practice address
3365 S HOLMES AVE, IDAHO FALLS, ID 83404-7981
(208) 542-1333
Mailing address
143 N 3762 E, RIGBY, ID 83442-5308
(208) 757-2754
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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