Eastern Idaho Reg Med Ctr Ps, Llc in Idaho Falls - Gynecologic Oncology

Eastern Idaho Reg Med Ctr Ps, Llc - NPI 1053352427

Eastern Idaho Reg Med Ctr Ps, Llc is a Gynecologic Oncology in Idaho Falls, Idaho. Eastern Idaho Reg Med Ctr Ps, Llc practices all healthcare services and medical treatments related to Gynecologic Oncology. The NPI Number for Eastern Idaho Reg Med Ctr Ps, Llc is 1053352427. The last update date is 2007-08-28.

Eastern Idaho Reg Med Ctr Ps, Llc's current location address is 3100 Channing Way, Idaho Falls, Idaho. You can contact this provider via phone number 2085297147. The mailing address for Eastern Idaho Reg Med Ctr Ps, Llc is 3100 Channing Way, Idaho Falls, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Eastern Idaho Reg Med Ctr Ps, Llc
Address 3100 Channing Way, Idaho Falls, Idaho
Phone Number 2085297147
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VP
Authorized Official Name England Robert
Telephone Number 2085297147

NPI Number Detail

NPI Number 1053352427
Provider Enumeration Date 2006-06-09
Last Updated Date 2007-08-28

Provider Mailing Address Detail

Address 3100 Channing Way
City Idaho Falls
State Idaho (ID)
Post Code 834047533
Phone Number 2085297147
Fax Number

Provider's Primary Taxonomy Detail

Speciality Gynecologic Oncology
Taxonomy 207Vx0201X
Definition:
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and res

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8L006 ID BLUE CROSS OF IDAHO

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FAQs about Eastern Idaho Reg Med Ctr Ps, Llc

What is the Eastern Idaho Reg Med Ctr Ps, Llc's 1053352427?

The Eastern Idaho Reg Med Ctr Ps, Llc's NPI (National Provider Identifier) Number is 1053352427. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Eastern Idaho Reg Med Ctr Ps, Llc's facilities are situated?

The facilities of Eastern Idaho Reg Med Ctr Ps, Llc are physically located at the following address: 3100 Channing Way, Idaho Falls, ID, 834047533.

What is the Eastern Idaho Reg Med Ctr Ps, Llc's specialty and taxonomy code?

The Eastern Idaho Reg Med Ctr Ps, Llc's specialty is Gynecologic Oncology, and the corresponding taxonomy code is 207Vx0201X.

When was the Eastern Idaho Reg Med Ctr Ps, Llc's 1053352427 issued?

The Eastern Idaho Reg Med Ctr Ps, Llc's 1053352427 was issued on 2006-06-09.

As of what date was the information regarding Eastern Idaho Reg Med Ctr Ps, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Eastern Idaho Reg Med Ctr Ps, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-08-28.

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