Intermountain Regenerative Medicine
NPI #1922731827 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1922731827
- Entity Type
- Organization
- Organization Name
- Intermountain Regenerative Medicine
- Primary Specialty
- General Practice
- Enumeration Date
- Jul 7, 2022
- Last Updated
- Dec 7, 2023
Practice Location
- Address
- 1075 S UTAH AVE STE 200
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402-3320
- Phone
- (208) 218-8622
Authorized Official
- Name
- MARIE BARRS
- Title
- OFFICE MANAGER
- Phone
- (919) 439-1512
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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