| Bruce L Harding, CRNA | |
|
115 Falls Ave W, Twin Falls, ID 83301-3115 | |
| (208) 734-3356 | |
| (208) 733-9463 |
| Full Name | Bruce L Harding |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 115 Falls Ave W, Twin Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902989056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | N24486 (Idaho) | Primary |
| Entity Name | Twin Falls Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952683625 PECOS PAC ID: 6204095409 Enrollment ID: O20120307000605 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce L Harding, CRNA Po Box 1657, Twin Falls, ID 83303-1657 Ph: (208) 734-3356 | Bruce L Harding, CRNA 115 Falls Ave W, Twin Falls, ID 83301-3115 Ph: (208) 734-3356 |
Mr. Chet Dansie, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000 | |
Daniel Scott Johnson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-734-7362 Fax: 208-814-0948 | |
Brendan Petersen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000 | |
John Brandon Cory, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000 | |
Robert Kinghorn, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 115 Falls Ave W, Twin Falls, ID 83301 Phone: 208-734-7362 Fax: 208-733-9463 | |
David A White, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000 Fax: 208-814-7528 | |
Jason Rojas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-2400 |