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Search › Idaho › 1223P0221X

Brock Coletti

NPI 1720447097 · on the registry since 2016

Practice

Address
3235 N Towerbridge Way Ste 200
Meridian, ID 83646
Phone
(208) 888-7711
Fax
(208) 888-3089
Organisation at this address
Sisc Anesthesia Inc
Dental Care For Kids
Nasker Anesthesia, Incorporated
Southern Idaho Surgery Center Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
1223P0221X
1223P0221X
Also registered as
390200000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-11-13

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