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Jon Champlin, CRNA
NPI 1386722429 · on the registry since 2006
Practice
- Address
- 1945 E 17th St
Idaho Falls, ID 83404 - Phone
- (208) 529-1945
- Organisation at this address
- Idaho Falls Surgical Center
Idaho Falls Surcigal Center
Idaho Falls Surgical Center
Idaho Falls Surgical Center
Surgery Center Anesthesia PllcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-12-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho