Organization
POST FALLS ANESTHESIA GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY S BARLOW DDS (OWNER)
(208) 660-8814
Entity
Organization
Contact information
Practice address
602 N CALGARY CT STE 203, POST FALLS, ID 83854-4000
(208) 660-8814
(208) 550-3468
Mailing address
602 N CALGARY CT STE 203, POST FALLS, ID 83854-4000
(208) 660-8814
(208) 550-3468
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
—
—
207L00000X
Anesthesiology Physician
—
—
207LP3000X
Pediatric Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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