DANIEL ELMORE

BOISE, ID
NPI1720625866
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  45355)
Enumeration Date2019-12-09
Last Update Date2019-12-09
Business Address
DANIEL ELMORE CRNA
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-336-0985
Mailing Address
DANIEL ELMORE CRNA
2537 W STATE ST STE 200
BOISE, ID 83702-2200
Phone number: 208-336-0985
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