JARON KIRK POLATIS
Individual Provider (NPI-1)
Active
Nurse Anesthetist, Certified Registered
Provider Information
- NPI Number
1225676000- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3100 CHANNING WAY, IDAHO FALLS, ID, 834047533
- Phone
- (208) 529-6264
Specialties & Taxonomies
Registered Nurse, Critical Care Medicine
License: UT #9273443-3102
Nurse Anesthetist, Certified Registered
Primary License: ID #63244
All Addresses
MAILING
140 N BASSETT RD
IDAHO FALLS, ID, 834025665