Eastern Idaho Reg Med Ctr Ps, LLC
NPI #1053352427 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1053352427
- Entity Type
- Organization
- Organization Name
- Eastern Idaho Reg Med Ctr Ps, LLC
- Primary Specialty
- Obstetrics & Gynecology - Gynecologic Oncology
- Enumeration Date
- Jun 9, 2006
- Last Updated
- Aug 28, 2007
Practice Location
- Address
- 3100 CHANNING WAY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7533
- Phone
- (208) 529-7147
Authorized Official
- Name
- ROBERT ENGLAND
- Title
- VP
- Phone
- (208) 529-7147
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology - Gynecologic Oncology — Gynecologic Oncology |
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