Individual
CHRISTOPHER M ILGENFRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 701-3127
Mailing address
2537 W STATE ST, BOISE, ID 83702-2200
(208) 335-0895
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
N-38631
ID
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-835A
ID
Other
Enumeration date
05/30/2012
Last updated
03/17/2018
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