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Organization

MVH ANESTHESIA, LLC

Active
Parent organization
MOUNTAIN VIEW HOSPITAL, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MOUNTAIN VIEW HOSPITAL, LLC
Authorized official
MR. JOSHUA TOLMAN CAO (MANAGER)
(208) 557-2700
Entity
Organization

Contact information

Practice address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 557-2700
Mailing address
PO BOX 1781, IDAHO FALLS, ID 83403-1781
(208) 552-8575

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
03/24/2015
Last updated
03/25/2015
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