East Falls Plastic Surgery LLC
NPI #1023267895 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1023267895
- Entity Type
- Organization
- Organization Name
- East Falls Plastic Surgery LLC
- Primary Specialty
- Plastic Surgery
- Enumeration Date
- Sep 16, 2008
- Last Updated
- Feb 18, 2010
Practice Location
- Address
- 2860 CHANNING WAY
- Address 2
- SUITE 114A
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7531
- Phone
- (208) 535-4565
Authorized Official
- Name
- MR. DAVID J. KANE
- Title
- VP
- Phone
- (801) 568-5933
Specialties & Taxonomy Codes
| Specialty |
|---|
| Plastic Surgery |
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