NEIL BURRASTON

General Practice

Active Individual
NPI: 1760131841

Practice Address

3100 CHANNING WAY
Idaho Falls, ID 83404

Phone: (208) 227-2840

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
General Practice 208D00000X Yes O-1960 (ID)

Frequently Asked Questions

NPI 1760131841 is the National Provider Identifier for NEIL BURRASTON, a General Practice provider located in Idaho Falls, ID. This NPI was enumerated on March 23, 2022.
NEIL BURRASTON practices at 3100 CHANNING WAY, Idaho Falls, ID 83404.

Quick Facts

NPI
1760131841
Type
Individual
Enumerated
Mar 23, 2022
Last Updated
May 15, 2024

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