Fall River Medical, Pllc

NPI #1457698987 in Rexburg, Idaho

Provider Information

NPI Number
1457698987
Entity Type
Organization
Organization Name
Fall River Medical, Pllc
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jan 3, 2013
Last Updated
Nov 19, 2019

Practice Location

Address
21 WINN DR
State
Idaho
ZIP Code
83440
Phone
(208) 881-5222

Authorized Official

Name
DR. AUSTIN C GILLETTE, MD
Title
OWNER
Phone
(208) 881-5222

Specialties & Taxonomy Codes

Specialty
Clinic/Center
Clinic/Center - ResearchResearch
Clinic/Center - Urgent CareUrgent Care
Durable Medical Equipment & Medical Supplies
Clinic/Center - Primary CarePrimary Care

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