Eagle Rock Medical Center LLC
NPI #1083372890 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1083372890
- Entity Type
- Organization
- Organization Name
- Eagle Rock Medical Center LLC
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Nov 30, 2021
- Last Updated
- Mar 21, 2022
Practice Location
- Address
- 919 S UTAH AVE
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402-3322
- Phone
- (208) 425-6020
Authorized Official
- Name
- KENDON HOWARD
- Title
- CEO
- Phone
- (208) 972-0420
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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