Organization
INTERMOUNTAIN ANESTHESIA ASSOCIATES PLLC
Active
Organization
INTERMOUNTAIN ANESTHESIA ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN ELBEN CRNA (PRESIDENT)
(509) 552-6666
Entity
Organization
Contact information
Practice address
318 WARNER DR, LEWISTON, ID 83501-4441
(208) 298-1050
Mailing address
PO BOX 84702, SEATTLE, WA 98124-6002
(877) 746-7090
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
03/16/2020
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