Eye Clinic of Idaho Falls,pa

NPI #1093911133 in Idaho Falls, Idaho

Provider Information

NPI Number: 1093911133
Entity Type: Organization
Organization Name: Eye Clinic of Idaho Falls,pa
Primary Specialty: Ophthalmology
Enumeration Date: Jun 25, 2007
Last Updated: Sep 15, 2011

Practice Location

Address: 530 S HOLMES AVE
City: Idaho Falls
State: Idaho
ZIP Code: 83401-4751
Phone: (208) 529-3937

Authorized Official

Name: DR. DAVID R ANDERSON, M.D.
Title: MEDICAL DIRECTOR
Phone: (208) 529-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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