DEREK G DENNIS

BOISE, ID
NPI1477583649
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RNA503)
Enumeration Date2006-07-04
Last Update Date2018-01-04
Business Address
Mr. DEREK G DENNIS CRNA
2537 W STATE ST
BOISE, ID 83702-2200
Phone number: 208-336-0895
Mailing Address
Mr. DEREK G DENNIS CRNA
2537 W STATE ST
BOISE, ID 83702-2200
Phone number: 208-336-0895
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