Individual
DUSTIN LEE ELBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 743-2511
Mailing address
PO BOX 94743, MS 631052, SEATTLE, WA 98124-7043
(253) 274-1668
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-879A
ID
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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