Organization
MARTINI ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CODY K MARTINI CRNA (OWNER)
(208) 525-2090
Entity
Organization
Contact information
Practice address
1524 W 5TH ST, SHERIDAN, WY 82801-2707
(307) 672-7874
Mailing address
PO BOX 3636, IDAHO FALLS, ID 83403-3636
(208) 525-2090
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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