is a Emergency Medicine in Blackfoot, Idaho. practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for is 1023275914. The last update date is .
's current location address is 98 Poplar St, Blackfoot, Idaho. You can contact this provider via phone number 2087854100 and fax number 3033067753. The mailing address for is 98 Poplar St, Blackfoot, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 98 Poplar St, Blackfoot, Idaho |
| Phone Number | 2087854100 |
| Fax Number | 3033067753 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1023275914 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 98 Poplar St |
|---|---|
| City | Blackfoot |
| State | Idaho (ID) |
| Post Code | 832211758 |
| Phone Number | 2087854100 |
| Fax Number | 3033067753 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | DR.0054868 |
|
Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 24776254 | CO | -- |
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