Organization
BRIGHAM MURRAY ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIGHAM D MURRAY CRNA (OWNER)
(801) 941-8794
Entity
Organization
Contact information
Practice address
672 E WYTHE CREEK CT STE 101, KUNA, ID 83634-5216
(208) 629-2800
Mailing address
PO BOX 2617, IDAHO FALLS, ID 83403-2617
(208) 552-8775
(208) 523-2025
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-833A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619234655
TYPE 1 NPI
—
Enumeration date
10/17/2017
Last updated
03/17/2018
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