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DANIEL ANESTHESIA, PC

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Company Details

Name: DANIEL ANESTHESIA, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 21 Dec 2015 (10 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 624676
Place of Formation: IDAHO
File Number: 624676
ZIP code: 83401
County: Bonneville County
Mailing Address: 2978 SANDY DR IDAHO FALLS, ID 83401-6473

Agent

Name Role Address
BEAU DANIEL Agent 2978 E SANDY DR, IDAHO FALLS, ID 83401

President

Name Role Address Appointed On
Beau S Daniel President 2978 SANDY DRIVE, IDAHO FALLS, ID 83401 2020-12-30

National Provider Identifier

NPI Number:
1588160881

Authorized Person:

Name:
BEAU SUMMERS DANIEL
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
Yes

Contacts:

Fax:
2085238978

Filing

Filing Name Filing Number Filing date
Annual Report 0006016998 2024-12-08
Annual Report 0005455666 2023-11-03
Annual Report 0004972028 2022-11-03
Annual Report 0004566523 2022-01-12
Annual Report 0004110641 2020-12-30

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Date of last update: 05 Jul 2025

Sources: Idaho Secretary of State