Eubanks Enterprises INC
NPI #1538883236 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1538883236
- Entity Type
- Organization
- Organization Name
- Eubanks Enterprises INC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Sep 27, 2022
- Last Updated
- Sep 27, 2022
Practice Location
- Address
- 1600 JOHN ADAMS PKWY STE 101
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-4300
- Phone
- (208) 716-8278
Authorized Official
- Name
- DEREK EUBANKS
- Title
- OWNER
- Phone
- (208) 716-0849
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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