Fall Creek Skin and Health Pllc
NPI #1629247093 in Rexburg, Idaho
Provider Information
- NPI Number
- 1629247093
- Entity Type
- Organization
- Organization Name
- Fall Creek Skin and Health Pllc
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Feb 29, 2008
- Last Updated
- Jun 26, 2018
Practice Location
Authorized Official
- Name
- MR. BRETT GERALD BAGLEY, P.A.-C.
- Title
- PHYSICIAN ASSISTANT CERTIFIED
- Phone
- (208) 359-2263
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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