Gary B Andregg, CRNA Valid NPI
Individual provider · Specialist · Post Falls, ID
- NPI
- 1740285246
- Type
- Individual (Type 1)
- Primary specialty
- Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 174400000X
- License number
- RN-158 (ID)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-06-20
- Last updated
- 2007-07-08
Practice location
1593 E Polston Ave
Post Falls, ID 83854-5326
(208) 262-2314