Robert L Ellison is a Certified Registered Nurse Anesthetist based in Coeur D Alene, ID. Robert L Ellison practices in Moscow, ID and has the professional credentials of CRNA. The NPI Number for Robert L Ellison is 1265425714 and holds a License No. N13917 (Idaho).
The current practice location address for Robert L Ellison is 2300 W A St, Moscow, ID and can be reached out via phone at 208-883-1500 and via fax at 208-882-7701.
Identifier | Type | State | Issuer |
---|---|---|---|
9628264 | 05 | WA | |
A3565 | 01 | ID | BC ID |
N13917 | 01 | ID | IDAHO LICENSE |
P00137189 | 01 | RAILROAD MEDICARE | |
805788500 | 05 | ID |
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