TODD JAMES OPDAHL

BOISE, ID
NPI1578975694
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  N-38151)
Enumeration Date2014-05-22
Last Update Date2014-05-22
Business Address
Mr. TODD JAMES OPDAHL CRNA
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-336-0895
Mailing Address
Mr. TODD JAMES OPDAHL CRNA
338 E BANNOCK ST
BOISE, ID 83712-6207
Phone number: 208-336-0895
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