Individual
BARRY D HONCOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2400
(208) 262-2412
Mailing address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2400
(208) 262-2412
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-610
ID
Other
Enumeration date
01/31/2006
Last updated
07/01/2010
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