Organization
NORTHSTAR ANESTHESIA OF IDAHO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA LUMBLEY MD (CHIEF QUALITY OFFICE)
(617) 935-5799
Entity
Organization
Contact information
Practice address
777 HOSPITAL WAY, POCATELLO, ID 83201-5175
(208) 239-1000
Mailing address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
10/10/2023
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