Individual
JEFFREY DOUGLAS HOBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-1000
Mailing address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
N39889
ID
367500000X
Certified Registered Nurse Anesthetist
Primary
53510
ID
Other
Enumeration date
03/25/2016
Last updated
06/23/2016
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