MICHAEL JOSEPH SUIDA

BOISE, ID
NPI1407802127
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RNA559)
Additional Taxonomies163W00000X Registered Nurse
(Licence: ID  N32502)
Enumeration Date2006-05-25
Last Update Date2011-04-08
Business Address
-- MICHAEL JOSEPH SUIDA CRNA
1055 N CURTIS RD
BOISE, ID 83706-1352
Phone number: 208-367-6416
Mailing Address
-- MICHAEL JOSEPH SUIDA CRNA
PO BOX 4268
PORTLAND, OR 97208-4268
Phone number: 503-372-2740