Mountain Falls Medical LLC
NPI #1932526373 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1932526373
- Entity Type
- Organization
- Organization Name
- Mountain Falls Medical LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Mar 24, 2014
- Last Updated
- Mar 24, 2014
Practice Location
- Address
- 1995 E 17TH ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-6493
- Phone
- (208) 403-2107
Authorized Official
- Name
- MRS. CAULEEN MARIE STRADLING
- Title
- OWNER
- Phone
- (208) 403-2107
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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