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Organization

KITTITAS ANESTHESIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DALILA FAIRCHILD CRNA (PRESIDENT)
(208) 525-2090
Entity
Organization

Contact information

Practice address
603 S CHESTNUT ST, ELLENSBURG, WA 98926-3875
(509) 962-9841
(509) 962-7413
Mailing address
PO BOX 2385, IDAHO FALLS, ID 83403-2385
(208) 525-2090
(208) 523-8978

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
01/12/2021
Last updated
01/12/2021
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