Organization
TRINITY ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY A POWELL CRNA (OWNER)
(360) 489-5766
Entity
Organization
Contact information
Practice address
811 N LIBERTY ST, BOISE, ID 83704-8703
(208) 323-4522
Mailing address
PO BOX 2024, IDAHO FALLS, ID 83403-2024
(208) 525-2090
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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