| NPI Details | |
|---|---|
| NPI | 1255324653 |
| Enumeration Date | 08/31/2005 |
| Last Updated | 03/27/2008 |
| Entity Type | Healthcare Provider |
| Active | Over 12 years ago |
| Authorized Information | |
|---|---|
| Name | ROBERT ROBERT |
| Position | DELEGATED OFFICIAL |
| Phone | (208) 882-7530 |
| Fax | |
| Practice Location | |
|---|---|
| 2300 W A ST MOSCOW ID, 83843-4038, US |
|
| Phone | (208) 882-7530 |
| Fax | |
| Business Location | |
|---|---|
| PO BOX 1829 COEUR D ALENE ID, 83816-1829, US |
|
| Phone | (208) 667-9334 |
| Fax | (208) 664-2341 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207L00000X |
| License State | |
| License Number | |
| Remove 1255324653 NPI Number | |
According to our database, Inland Anesthesia NPI is 1255324653, taxonomy code is 207L00000X Inland Anesthesia physically located at 2300 W A St, Moscow ID, 83843-4038. NPI Number 1033115704 has the healthcare provider type.
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1255324653 NPI number is provided on an as is basis without warranty of any kind. 1255324653 is maintained by the National Plan & Provider Enumeration System. The contents of Inland Anesthesia are for informational purposes only.
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