Organization
BOISE VALLEY ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATIANA KHOCHAY CRNA (OWNER)
(208) 794-1559
Entity
Organization
Contact information
Practice address
1828 S MILLENIUM WAY, MERIDIAN, ID 83642-5036
(208) 381-0262
Mailing address
PO BOX 2291, IDAHO FALLS, ID 83403-2291
(800) 338-5378
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
06/05/2024
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