CHRIS CHADWICK FUGATE

REXBURG, ID
NPI1174693543
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  N-16877)
Enumeration Date2006-11-09
Last Update Date2020-11-10
Business Address
Mr. CHRIS CHADWICK FUGATE CRNA
256 N 2ND E
REXBURG, ID 83440-1638
Phone number: 208-656-9646
Mailing Address
Mr. CHRIS CHADWICK FUGATE CRNA
PO BOX 3659
IDAHO FALLS, ID 83403-3659
Phone number: 208-525-2090
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