Most Relevant Information
Provider Data
NPI Number: | 1003335209 |
Provider Name: | CHET DANSIE CRNA |
Entity Type: | Individual |
Taxonomy Code: | 367500000X |
Specialty: | Nurse Anesthetist, Certified Registered |
License Number: | 57630 |
Most Important Dates
Enumeration Date: | 09/19/2017 |
Last Updated: | 01/31/2018 |
Provider Practice Location
801 POLE LINE RD W
TWIN FALLS
ID
833015810
Practice Location Phone/Fax
Phone: | 2088141000 |
Fax: |
Provider Mailing Location
984 HANKINS RD
TWIN FALLS
ID
833018225
Provider Mailing Phone/Fax
Phone: | 2089611769 |
Fax: |