Organization
PARAGON ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARON POLATIS CRNA (OWNER)
(208) 709-6300
Entity
Organization
Contact information
Practice address
2001 S WOODRUFF AVE STE 6, IDAHO FALLS, ID 83404-6371
(208) 715-8220
(208) 715-8221
Mailing address
PO BOX 2523, IDAHO FALLS, ID 83403-2523
(800) 338-5378
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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