Provider Demographics
NPI:1386943371
Name:ROYTER ANESTHESIA INC.
Entity type:Organization
Organization Name:ROYTER ANESTHESIA INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROYTER
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:509-701-2902
Mailing Address - Street 1:PO BOX 401
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99210-0401
Mailing Address - Country:US
Mailing Address - Phone:509-701-2902
Mailing Address - Fax:509-456-0999
Practice Address - Street 1:707 W 21ST AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-1948
Practice Address - Country:US
Practice Address - Phone:509-701-2902
Practice Address - Fax:509-456-0999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-16
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30005924367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty