NPI Provider: 1841342821
Contact Name: FOWLER JEFFREY
Position: OWNER
Phone: (208) 525-2090
Windriver Anesthesia Information:
Windriver Anesthesia organization have npi 1841342821, taxonomy code is 207L00000X with license number is 6058A in . This Business address located in PO Box 1363, Idaho Falls, ID 83403 Idaho. Get directions of Windriver Anesthesia
.
Practice Location
Address: 1441 WILKINS CIRCLE, CASPER, WY 82601
Phone: (307) 265-1792
Business Location
Address: PO Box 1363, Idaho Falls, ID 83403
Phone: (208) 525-2090
Fax: (208) 525-2662
Taxonomy
Taxonomy Code: 207L00000X
License Number: 6058A
License Number of State: WY
Primary Taxonomy Switch: Y
Enumeration Date: 1/18/2007
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