Organization
INLAND NORTHWEST ANESTHESIA PLLC
Active
Organization
INLAND NORTHWEST ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAK A KING (INSURANCE COORDINATOR)
(208) 667-1376
Entity
Organization
Contact information
Practice address
850 W IRONWOOD DR, STE 300, COEUR D ALENE, ID 83814-4903
(208) 667-1376
(208) 292-0873
Mailing address
850 W IRONWOOD DR, STE 300, COEUR D ALENE, ID 83814-4903
(208) 667-1376
(208) 292-0873
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA570
ID
367500000X
Certified Registered Nurse Anesthetist
RNA595
ID
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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