Organization
SURGERY CENTER ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH W SCHEUERMANN MD (SECRETARY/TREASURERE)
(208) 529-1945
Entity
Organization
Contact information
Practice address
1945 E 17TH ST, IDAHO FALLS, ID 83404-6429
(208) 529-1945
Mailing address
PO BOX 52180, IDAHO FALLS, ID 83405-2180
(208) 552-8776
(208) 523-2025
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
02/24/2011
Last updated
05/03/2011
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