Idaho Integrative Wellness, LLC

NPI #1144900069 in Rock Springs, Wyoming

Provider Information

NPI Number: 1144900069
Entity Type: Organization
Organization Name: Idaho Integrative Wellness, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: IDAHO INTEGRATIVE WELLNESS, LLC
Primary Specialty: Surgery
Enumeration Date: Jul 25, 2023
Last Updated: Jul 25, 2023

Practice Location

Address: 116 2ND ST
City: Rock Springs
State: Wyoming
ZIP Code: 82901-6145
Phone: (307) 922-4290

Authorized Official

Name: DR. CHAD KEITH FRANKS, MD
Title: OWNER
Phone: (307) 371-3725

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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