Organization
BRUCE DEMKO CRNA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE DEMKO CRNA (SELF OWNER)
(208) 255-8013
Entity
Organization
Contact information
Practice address
30544 HIGHWAY 200, PONDERAY, ID 83852-5005
(208) 255-8013
Mailing address
PO BOX 591, SAGLE, ID 83860
(208) 265-3534
(208) 265-3534
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA491A
ID
Other
Enumeration date
03/10/2008
Last updated
01/04/2013
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