Dr DIRK BAHORAVITCH is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2016.
ST LUKE'S CLINIC, LLC
801 POLE LINE RD W
TWIN FALLS
ID
833015810
Tel: 2083812088
| Npi | 1184083826 |
| Pac Id | 0941595441 |
| Professional Enrollment Id | I20160823001813 |
| Last Name | BAHORAVITCH |
| First Name | DIRK |
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| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2016 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Organization Legal Name | ST LUKE'S CLINIC, LLC |
| Group Practice Pac Id | 1052217478 |
| Number Of Group Practice Members | 230 |
| Line 1 Street Address | 801 POLE LINE RD W |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 833015810 |
| Phone Number | 2083812088 |
| Hospital Affiliation Ccn 1 | 130002 |
| Hospital Affiliation Lbn 1 | ST LUKES MAGIC VALLEY MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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