Individual
MR. PAUL W. BRINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
777 HOSPITAL WAY, POCATELLO, ID 83201-5175
(208) 239-1000
Mailing address
PO BOX 4107, POCATELLO, ID 83205-4107
(208) 233-8880
(208) 232-1950
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RNA-858A
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-858A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS20806
BOARD OF PHARM
ID
Enumeration date
02/22/2013
Last updated
03/07/2023
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