Individual
DUSTIN PAUL GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
804 S WASHINGTON ST STE A, MOSCOW, ID 83843-3182
(208) 883-6700
Mailing address
PO BOX 8007, MOSCOW, ID 83843-0507
(208) 883-2224
(208) 883-6580
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
56753
ID
Other
Enumeration date
06/01/2010
Last updated
09/15/2025
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