Healthcare Provider Details

I. General information

NPI: 1386943371
Provider Name (Legal Business Name): ROYTER ANESTHESIA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2011
Last Update Date: 03/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 W 21ST AVE
SPOKANE WA
99203-1948
US

IV. Provider business mailing address

PO BOX 401
SPOKANE WA
99210-0401
US

V. Phone/Fax

Practice location:
  • Phone: 509-701-2902
  • Fax: 509-456-0999
Mailing address:
  • Phone: 509-701-2902
  • Fax: 509-456-0999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAP30005924
License Number StateWA

VIII. Authorized Official

Name: MS. KIMBER ROYTER
Title or Position: PRESIDENT
Credential: C.R.N.A.
Phone: 509-701-2902