Albert R Trearse M.D.

NPI 1508864851 - Anesthesiology - 207L00000X

NPI Details
NPI 1508864851
Gender Male
Enumeration Date 07/11/2005
Last Updated 01/25/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
100 HOSPITAL DR
KETCHUM ID, 83340, US
Phone (208) 727-8800
Fax
Business Location
190 E BANNOCK ST
BOISE ID, 83712-6241, US
Phone (208) 727-8800
Fax (801) 366-9883
Toxanomy
Taxonomy Code 207L00000X
License State Utah
License Number 263133-1205
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According to our database, Albert R Trearse M.D. NPI is 1508864851, taxonomy code is 207L00000X and license number is 263133-1205, license state is located at Utah. Albert R Trearse M.D. physically located at 100 Hospital Dr, Ketchum ID, 83340. NPI Number Albert R Trearse M.D. has the Individual type.

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1508864851 NPI number is provided on an as is basis without warranty of any kind. 1508864851 is maintained by the National Plan & Provider Enumeration System. The contents of Albert R Trearse M.D. are for informational purposes only.