GRAND TETON GASTROENTEROLOGY

Nurse Practitioner

Active Organization
NPI: 1457520900

Practice Address

2770 CORTEZ AVE
Idaho Falls, ID 83404

Phone: (208) 522-4000

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X Yes -

Frequently Asked Questions

NPI 1457520900 is the National Provider Identifier for GRAND TETON GASTROENTEROLOGY, a Nurse Practitioner provider located in Idaho Falls, ID. This NPI was enumerated on February 28, 2008.

Quick Facts

NPI
1457520900
Type
Organization
Enumerated
Feb 28, 2008
Last Updated
Feb 29, 2008

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