WAYNE R NORDICK

BOISE, ID
NPI1508067364
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  17424)
Enumeration Date2007-05-30
Last Update Date2007-07-08
Business Address
-- WAYNE R NORDICK CRNA
111 W STATE ST
BOISE, ID 83702-6127
Phone number: 208-336-0895
Mailing Address
-- WAYNE R NORDICK CRNA
111 W STATE ST
BOISE, ID 83702-6127
Phone number: 208-336-0895
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