| Eagle Anesthesia & Oral Surgery Pllc | |
|
5266 N Eagle Rd Boise ID 83713-0945 | |
| (503) 679-9797 | |
| Not Available |
| Full Name | Eagle Anesthesia & Oral Surgery Pllc |
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 5266 N Eagle Rd, Boise, Idaho |
| Authorized Official Name and Position | Ryan Judd (DENTIST ANESTHESIOLOGIST) |
| Authorized Official Contact | 5036799797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Anesthesia & Oral Surgery Pllc 37 W Archerfield St Ste 100 Meridian ID 83646-7721 Ph: (503) 679-9797 | Eagle Anesthesia & Oral Surgery Pllc 5266 N Eagle Rd Boise ID 83713-0945 Ph: (503) 679-9797 |
| NPI Number | 1972333565 |
|---|---|
| Provider Enumeration Date | 08/07/2024 |
| Last Update Date | 08/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972333565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | (* (Not Available)) | Primary |
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