| Clayton Sanders, CRNA | |
|
520 S Eagle Rd, Suite 3104, Meridian, ID 83642-6308 | |
| (208) 373-1200 | |
| Not Available |
| Full Name | Clayton Sanders |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 520 S Eagle Rd, Meridian, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225056476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | N-29138 (Idaho) | Primary |
| Entity Name | Overton/stiff Professional Anesthesia Service Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417065152 PECOS PAC ID: 6901793975 Enrollment ID: O20040507001312 |
| Mailing Address | Practice Location Address |
|---|---|
| Clayton Sanders, CRNA Po Box 2203, Idaho Falls, ID 83403-2203 Ph: (208) 525-2090 | Clayton Sanders, CRNA 520 S Eagle Rd, Suite 3104, Meridian, ID 83642-6308 Ph: (208) 373-1200 |
Heather J Nasker, CRNA, MSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3235 N Towerbridge Way, #100, Meridian, ID 83646 Phone: 208-412-8177 | |
Mr. Justin R Gibb, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1828 S Millenium Way, Meridian, ID 83642 Phone: 208-381-0262 | |
Charles Stiff, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 520 S Eagle Rd, Suite 3104, Meridian, ID 83642 Phone: 208-373-1200 | |
Mr. Brent V Bowles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1828 S Millenium Way Ste 100, Meridian, ID 83642 Phone: 208-445-2456 | |
Marguerite Overton, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 520 S Eagle Rd, Suite 3104, Meridian, ID 83642 Phone: 208-373-1200 | |
Steven Berg, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 520 S Eagle Rd, Suite 3104, Meridian, ID 83642 Phone: 208-373-1200 |