Organization
ROCK CREEK ANESTHESIA SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THAD HOLLIST CRNA (MANAGING MEMBER)
(208) 734-3356
Entity
Organization
Contact information
Practice address
115 FALLS AVE W, TWIN FALLS, ID 83301-3115
(208) 733-1662
(208) 733-9463
Mailing address
1358 FILLMORE ST, TWIN FALLS, ID 83301-3392
(208) 734-3356
(208) 733-9463
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/12/2018
Last updated
08/13/2024
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