Organization
EVANS ANESTHESIA SERVICES PC
Active
Organization
EVANS ANESTHESIA SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN EVANS CRNA (OWNER)
(208) 736-0106
Entity
Organization
Contact information
Practice address
727 E RIVERPARK LN, BOISE, ID 83706-4069
(866) 732-8800
Mailing address
PO BOX 3207, IDAHO FALLS, ID 83403-3207
(208) 525-2090
(208) 525-2662
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
N-23594
ID
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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