NICHOLAS STODDARD

POCATELLO, ID
NPI1225330954
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RNA-821A)
Enumeration Date2010-12-01
Last Update Date2012-02-13
Business Address
-- NICHOLAS STODDARD CRNA
777 HOSPITAL WAY
POCATELLO, ID 83201-5175
Phone number: 208-232-7760
Mailing Address
-- NICHOLAS STODDARD CRNA
PO BOX 4107
POCATELLO, ID 83205-4107
Phone number: 208-232-7760
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