Organization
WEST IDAHO ANESTHESIA, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAD B. WESTOVER CRNA (PARTNER)
(208) 550-1042
Entity
Organization
Contact information
Practice address
3115 MEDICAL DR, CALDWELL, ID 83605-6972
(208) 453-8668
(208) 523-2025
Mailing address
PO BOX 3816, IDAHO FALLS, ID 83403-3816
(208) 552-8572
(208) 523-2025
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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