ANDREW M EWELL

INTERMOUNTAIN ANESTHESIA PA

Dr ANDREW M EWELL is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2011.

Contact

INTERMOUNTAIN ANESTHESIA PA

3100 CHANNING WAY
IDAHO FALLS
ID
834047533

Tel: 2085296111

ANDREW M EWELL Information

Npi 1467749887
Pac Id 4486823176
Professional Enrollment Id I20110815000591
Last Name EWELL
First Name ANDREW
Middle Name M
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2011
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name INTERMOUNTAIN ANESTHESIA PA
Group Practice Pac Id 5193638781
Number Of Group Practice Members 23
Line 1 Street Address 3100 CHANNING WAY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City IDAHO FALLS
State ID
Zip Code 834047533
Phone Number 2085296111
Hospital Affiliation Ccn 1 130018
Hospital Affiliation Lbn 1 EASTERN IDAHO REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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