Pathology Associates of Idaho Falls P a
NPI #1497723241 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1497723241
- Entity Type
- Organization
- Organization Name
- Pathology Associates of Idaho Falls P a
- Primary Specialty
- Pathology - Anatomic Pathology & Clinical Pathology
- Enumeration Date
- Mar 9, 2006
- Last Updated
- Mar 6, 2020
Practice Location
- Address
- 3100 CHANNING WAY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7533
- Phone
- (208) 529-6050
Authorized Official
- Name
- MATT TANNENBAUM, MD
- Title
- PRESIDENT
- Phone
- (208) 529-6050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pathology - Anatomic Pathology & Clinical Pathology — Anatomic Pathology & Clinical Pathology |
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