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1174602684
EAGLE ROCK ANESTHESIA PLLC
IDAHO FALLS, ID
NPI
1174602684
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Entity Type
Organization
Authorized Contact
SCOTT C NELSON
Member
208-557-2700
Organization Subpart ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
Enumeration Date
2006-11-03
Last Update Date
2008-03-07
Business Address
EAGLE ROCK ANESTHESIA PLLC
2325 CORONADO ST
IDAHO FALLS, ID 83404-7407
Phone number: 208-557-2700
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Mailing Address
EAGLE ROCK ANESTHESIA PLLC
PO BOX 3206
IDAHO FALLS, ID 83403-3206
Phone number: 208-523-4906
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