Individual
JOHN MEYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1080 TERRA AVE, TWIN FALLS, ID 83301-4712
(208) 705-5969
Mailing address
267 N CANYON DR, GOODING, ID 83330-5500
(208) 705-5969
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-947A
ID
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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