TRAVIS M PICKETT

IDAHO FALLS, ID
NPI1376622894
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RNA592)
Enumeration Date2006-11-03
Last Update Date2007-12-21
Business Address
TRAVIS M PICKETT CRNA
2325 CORONADO ST
IDAHO FALLS, ID 83404-7407
Phone number: 208-557-2700
Mailing Address
TRAVIS M PICKETT CRNA
PO BOX 3206
IDAHO FALLS, ID 83403-3206
Phone number: 208-523-4906
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