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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