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1790300812
TRINITY ANESTHESIA LLC
BOISE, ID
NPI
1790300812
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Entity Type
Organization
Authorized Contact
TIMOTHY A POWELL
Owner
360-489-5766
Organization Subpart ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
Enumeration Date
2020-06-15
Last Update Date
2020-06-15
Business Address
TRINITY ANESTHESIA LLC
811 N LIBERTY ST
BOISE, ID 83704-8703
Phone number: 208-323-4522
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Mailing Address
TRINITY ANESTHESIA LLC
PO BOX 2024
IDAHO FALLS, ID 83403-2024
Phone number: 208-525-2090
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