Organization
R & B ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L ELLISON MD (PRESIDENT)
(208) 892-0191
Entity
Organization
Contact information
Practice address
2300 W A ST, MOSCOW, ID 83843-4038
(208) 883-1500
(208) 666-1642
Mailing address
1028 COMPTON CT, MOSCOW, ID 83843-8531
(208) 892-0191
(208) 666-1642
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
ID
Other
Enumeration date
03/03/2008
Last updated
07/20/2010
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