Individual
ZACHARY D MORROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 785-4100
Mailing address
PO BOX 1627, IDAHO FALLS, ID 83403-1627
(208) 552-8778
(208) 523-2025
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
61161
ID
367500000X
Certified Registered Nurse Anesthetist
8498-33
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699268276
—
ID
Enumeration date
06/08/2018
Last updated
06/18/2019
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