Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Intermountain Ambulatory Anesthesia PLLC

Organization Anesthesiology Physician · NPI 1073546289

Intermountain Ambulatory Anesthesia PLLC is an Anesthesiology Physician in Meridian, Idaho. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

875 S Vanguard Way
Meridian, ID 83642-8540
Phone: (208) 373-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1073546289
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kirk Miller — Member · (208) 960-0870
NPI enumeratedJuly 9, 2006
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 23, 2022
Mailing addressPo Box 3661, Seattle, WA 98124-3661

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