Individual
GARY B ANDREGG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2314
Mailing address
17 EAGEN LN, HOPE, ID 83836-9783
(208) 264-5487
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
RN-158
ID
Other
Enumeration date
06/20/2005
Last updated
07/08/2007
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