Life Spring Women's Clinic, P.a.
NPI #1265635346 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1265635346
- Entity Type
- Organization
- Organization Name
- Life Spring Women's Clinic, P.a.
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jun 7, 2007
- Last Updated
- Sep 13, 2007
Practice Location
- Address
- 1660 JOHN ADAMS PKWY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-4360
- Phone
- (208) 523-8844
Authorized Official
- Name
- CRAIG Z. HALL, M.D.
- Title
- PRESIDENT
- Phone
- (208) 523-8844
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Physician Assistant |
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