| NPI | 1114500543 |
|---|---|
| Doing Business As | TREASURE VALLEY ANESTHESIA AND SURGICAL PLLC |
| Entity Type | Organization |
| Authorized Contact | RYAN JUDD Owner 208-343-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist Dentist Anesthesiologist |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2021-05-04 |