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Organization

EAST IDAHO ANESTHESIA ASSOCIATES PC

Active
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Organization

EAST IDAHO ANESTHESIA ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RYAN T SAYRE CRNA (PRESIDENT)
(208) 785-4100
Entity
Organization

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

Other

Enumeration date
01/06/2012
Last updated
01/06/2012
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