Organization
WESTOVER ANESTHESIA PLLC
Active
Organization
WESTOVER ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAD B WESTOVER CRNA (MANAGER)
(208) 549-8268
Entity
Organization
Contact information
Practice address
1828 MILLENIUM WAY, SUITE 100, MERIDIAN, ID 83642-5036
(208) 381-0262
Mailing address
PO BOX 2408, IDAHO FALLS, ID 83403-2408
(208) 552-8773
(208) 523-2025
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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