Shad B Westover CRNA

NPI 1407031180 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1407031180
Gender Male
Enumeration Date 12/31/2007
Last Updated 04/28/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
CALDWELL ID, 83605-4802, US
Phone (208) 455-4009
Business Location
PO BOX 4268
PORTLAND OR, 97208-4268, US
Phone (503) 372-2740
Fax (503) 372-2755
Taxonomy Code 367500000X
License State California
License Number NA3614
Remove 1407031180 NPI Number

According to our database, Shad B Westover CRNA NPI is 1407031180, taxonomy code is 367500000X and license number is NA3614, license state is located at California. Shad B Westover CRNA physically located at 1717 Arlington Ave, Caldwell ID, 83605-4802. NPI Number Shad B Westover CRNA has the Individual type.

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1407031180 NPI number is provided on an as is basis without warranty of any kind. 1407031180 is maintained by the National Plan & Provider Enumeration System. The contents of Shad B Westover CRNA are for informational purposes only.