Organization
EP SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REANNA PARK (BILLING SPECIALIST)
(208) 525-2090
Entity
Organization
Contact information
Practice address
3630 E LOUISE DR, MERIDIAN, ID 83642-7975
(208) 377-9515
Mailing address
1601 E 17TH ST, IDAHO FALLS, ID 83404-6313
(208) 525-2090
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
N-35018
ID
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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