THAD HOLLIST

TWIN FALLS, ID
NPI1639521024
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NM  CRNA-01423)
Enumeration Date2016-07-08
Last Update Date2023-01-11
Business Address
THAD HOLLIST CRNA
115 FALLS AVE W
TWIN FALLS, ID 83301
Phone number: 208-733-1662
Mailing Address
THAD HOLLIST CRNA
115 FALLS AVE W
TWIN FALLS, ID 83301-3115
Phone number: 208-734-3356
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