Teton Plastic Surgery
NPI #1154549616 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1154549616
- Entity Type
- Organization
- Organization Name
- Teton Plastic Surgery
- Primary Specialty
- Surgery - Plastic and Reconstructive Surgery
- Enumeration Date
- Apr 23, 2007
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 2860 CHANNING WAY
- Address 2
- SUITE 213
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7531
- Phone
- (208) 552-1406
Authorized Official
- Name
- JENNIFER MARTIN
- Title
- OFFICE MANAGER
- Phone
- (208) 552-1406
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery |
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