Organization
IDAHO ANESTHESIA ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DAWN PAYNE (OWNER/MANAGER)
(208) 525-2090
Entity
Organization
Contact information
Practice address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 557-2700
Mailing address
PO BOX 3424, IDAHO FALLS, ID 83403-3424
(208) 525-2090
(208) 525-2662
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/11/2016
Last updated
02/16/2016
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