Foothills Psychiatry and Addiction
NPI #1023635018 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1023635018
- Entity Type
- Organization
- Organization Name
- Foothills Psychiatry and Addiction
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Jun 25, 2020
- Last Updated
- Jun 25, 2020
Practice Location
- Address
- 13734 S 1ST E
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7852
- Phone
- (208) 360-0288
Authorized Official
- Name
- JASON MARTIN, PMHNP-BC
- Title
- PSYCHIATRIC NURSE PRACTITIONER
- Phone
- (208) 360-0288
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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