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Organization

MADISON ANESTHESIA SERVICES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CINDI FARNWORTH CRNA (PRESIDENT)
(208) 359-6564
Entity
Organization

Contact information

Practice address
450 E MAIN ST, REXBURG, ID 83440-2048
(208) 356-3691
Mailing address
PO BOX 3882, IDAHO FALLS, ID 83403-3882
(208) 525-2090
(208) 525-2662

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
07/06/2006
Last updated
04/21/2010
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