Organization
JOHN G FOSTER CRNA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN G FOSTER CRNA (PRESIDENT)
(208) 557-2700
Entity
Organization
Contact information
Practice address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 557-2700
Mailing address
PO BOX 1381, IDAHO FALLS, ID 83403-1381
(208) 552-8776
(208) 523-2025
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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