Organization
ANESTHESIA ZZZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC M BEACHELL CRNA (GROUP OWNER)
(208) 540-0134
Entity
Organization
Contact information
Practice address
285 VISTA DR, POCATELLO, ID 83201-4987
(208) 478-1704
Mailing address
616 S 800 E, PRESTON, ID 83263-4904
(208) 540-0134
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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