Organization
ELITE ANESTHESIA SERVICES OF IDAHO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA COLEMAN CRNA (OWNER/MANAGING PARTNER)
(909) 773-2901
Entity
Organization
Contact information
Practice address
2960 E ST. LUKE'S STREET, MERIDIAN, ID 83642
(208) 378-4264
Mailing address
5976 W VENETIAN DR, EAGLE, ID 83616-7439
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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