| NPI | 1952683625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ANNEST Managing Partner 208-734-3356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2022-07-21 |