George Holbrook Groberg in Idaho Falls - Pediatrics

George Holbrook Groberg - NPI 1306950969

George Holbrook Groberg is a Pediatrics in Idaho Falls, Idaho. George Holbrook Groberg practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for George Holbrook Groberg is 1306950969. The last update date is 2009-09-10.

George Holbrook Groberg's current location address is 3430 Washington Parkway, Idaho Falls, Idaho. You can contact this provider via phone number 2085233060 and fax number 2085230028. The mailing address for George Holbrook Groberg is 3430 Washington Parkway, Idaho Falls, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name George Holbrook Groberg
Address 3430 Washington Parkway, Idaho Falls, Idaho
Phone Number 2085233060
Fax Number 2085230028
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1306950969
Provider Enumeration Date 2006-08-19
Last Updated Date 2009-09-10

Provider Mailing Address Detail

Address 3430 Washington Parkway
City Idaho Falls
State Idaho (ID)
Post Code 83404
Phone Number 2085233060
Fax Number 2085230028

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No M4910
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2297900 ID --
49106 ID BLUE CROSS
10002848 ID BLUE SHIELD

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FAQs about George Holbrook Groberg

What is the unique identification code assigned to George Holbrook Groberg by the Centers for Medicare & Medicaid Services?

The George Holbrook Groberg has been issued the NPI (National Provider Identifier) 1306950969. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where George Holbrook Groberg is geographically located?

The George Holbrook Groberg is physically situated at the following location: 3430 Washington Parkway, Idaho Falls, ID, 83404.

What is George Holbrook Groberg's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for George Holbrook Groberg is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

When did George Holbrook Groberg receive its 1306950969 assignment?

The George Holbrook Groberg was assigned its 1306950969 on 2006-08-19, which is the date when this unique identifier was issued to the organization.

When was the information regarding George Holbrook Groberg, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to George Holbrook Groberg, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-09-10.

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