Organization
ROCKY MOUNTAIN ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY HARWARD CRNA (PRESIDENT)
(208) 525-2090
Entity
Organization
Contact information
Practice address
36 PROFESSIONAL PLZ, SUITE 100, REXBURG, ID 83440-2049
(208) 656-8442
Mailing address
1601 E 17TH ST, IDAHO FALLS, ID 83404-6313
(208) 525-2090
(208) 525-2662
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
N-32894
ID
Other
Enumeration date
12/15/2006
Last updated
08/22/2020
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