CHARLES B GLADWELL

BOISE, ID
NPI1689824633
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  temporary)
Enumeration Date2008-09-26
Last Update Date2008-09-26
Business Address
-- CHARLES B GLADWELL CRNA
111 W STATE ST
BOISE, ID 83702-6127
Phone number: 208-336-0895
Mailing Address
-- CHARLES B GLADWELL CRNA
111 W STATE ST
BOISE, ID 83702-6127
Phone number: 208-336-0895