Greenwald Neurosurgical

NPI #1124198403 in Idaho Falls, Idaho

Provider Information

NPI Number: 1124198403
Entity Type: Organization
Organization Name: Greenwald Neurosurgical
Primary Specialty: Specialist
Enumeration Date: Nov 8, 2006
Last Updated: Jul 13, 2009

Practice Location

Address: 3155 CHANNING WAY
Address 2: SUITE B
City: Idaho Falls
State: Idaho
ZIP Code: 83404-7546
Phone: (208) 535-4800

Authorized Official

Name: MS. JANEENE A DITMORE
Title: OFFICE MANAGER
Phone: (208) 535-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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