Teton Cardiovascular and Pulmonary Lab,llc
NPI #1699784413 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1699784413
- Entity Type
- Organization
- Organization Name
- Teton Cardiovascular and Pulmonary Lab,llc
- Primary Specialty
- Physiological Laboratory
- Enumeration Date
- Aug 8, 2006
- Last Updated
- May 6, 2025
Practice Location
- Address
- 2001 S WOODRUFF AVE
- Address 2
- SUITE 12 B
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-6374
- Phone
- (800) 341-1043
Authorized Official
- Name
- BRADEN L CAZARES
- Title
- CEO
- Phone
- (972) 677-3896
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physiological Laboratory |
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