Graduated: 2016
NPI: 1366804338
Practice Locations (3)
NORTHSTAR ANESTHESIA OF IDAHO PLLC
333 N 18TH AVE, SUITE C
POCATELLO, ID 832013358
2082347800
NORTHSTAR ANESTHESIA OF IDAHO PLLC
777 HOSPITAL WAY
POCATELLO, ID 832015175
2082391000
INTEGRAL ANESTHESIA LLC
1923 S UTICA AVE
TULSA, OK 741046520
9197443131
Source: CMS National Downloadable File, September 2026.