Individual
CHRISTOPHER J SOURS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
501 W FORT ST, BOISE, ID 83702-4502
(208) 422-1000
Mailing address
713 W HIGHLAND VIEW DR, BOISE, ID 83702-1323
(208) 422-1000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-378
ID
Other
Enumeration date
05/24/2005
Last updated
07/08/2007
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