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83501
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VALLEY ANESTHESIA, P.A.
Company Details
| Name: |
VALLEY ANESTHESIA, P.A. |
| Jurisdiction: |
Idaho |
| Legal type: |
Professional Service Corporation (D) |
| Status: |
Inactive-Dissolved (Administrative)
|
| Date of registration: |
20 Jun 1994 (31 years ago)
|
| Financial Date End: |
30 Jun 2021 |
| Date dissolved: |
13 Sep 2021 |
| Entity Number: |
329190 |
| Place of Formation: |
IDAHO |
| File Number: |
329190 |
| ZIP code: |
83501
|
| County: |
Nez Perce County |
| Mailing Address: |
31154 VOLMER RD LEWISTON, ID 83501-7033 |
Agent
| Name |
Role |
Address |
|
TALMADGE CAVIHESS
|
Agent
|
31154 VOLLMER RD, LEWISTON, ID 83501
|
Director
| Name |
Role |
Address |
Appointed On |
|
Thomas Boubel
|
Director
|
1789 RIVER CANYON DRIVE, CLARKSTON, WA 99403
|
2020-07-02
|
National Provider Identifier
Authorized Person:
Name:
DR. FRANK DITTO III
Taxonomy:
Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Contacts:
Date of last update: 02 Jun 2025
Sources:
Idaho Secretary of State
