Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRUCE WILLIAM DEMKO, CRNA
Active Sole ProprietorMR. BRUCE WILLIAM DEMKO, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in PONDERAY, Idaho. NPI 1780651539 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · PONDERAY, ID
Registration Details
- NPI Number
- 1780651539
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 1, 2006 (20.448412303387 yrs)
- Last Updated
- Apr 13, 2012
- Licenses
-
N30209 (ID)RNA491A (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
30544 HIGHWAY 200PONDERAY, ID, 838525005Browse ID providers · Browse ZIP 83852
- Phone
- 2082558013
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.