CHARLES STIFF

MERIDIAN, ID
NPI1174557011
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  N-25781)
Enumeration Date2006-07-10
Last Update Date2007-07-08
Business Address
-- CHARLES STIFF CRNA
520 S EAGLE RD SUITE 3104
MERIDIAN, ID 83642-6308
Phone number: 208-373-1200
Mailing Address
-- CHARLES STIFF CRNA
PO BOX 2203
IDAHO FALLS, ID 83403-2203
Phone number: 208-525-2090
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