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Eastern Idaho Reg Med Ctr Ps, Llc
Gynecologic Oncology Physician in Idaho Falls, Idaho
NPI 1053352427

Eastern Idaho Reg Med Ctr Ps, Llc is a Gynecologic Oncology Physician based in Idaho Falls, ID and is specialized in Gynecologic Oncology. Eastern Idaho Reg Med Ctr Ps, Llc practices in Idaho Falls, ID. The NPI Number for Eastern Idaho Reg Med Ctr Ps, Llc is 1053352427 and holds a License No. (Idaho).

The current practice location address for Eastern Idaho Reg Med Ctr Ps, Llc is 3100 Channing Way, Idaho Falls, ID and can be reached out via phone at 208-529-7147.

Location: 3100 Channing Way, Idaho Falls, ID, 83404-7533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053352427
Provider Name
Eastern Idaho Reg Med Ctr Ps, Llc
Credential
Provider Entity Type
Organization
Address
3100 Channing Way, Idaho Falls, ID, 83404-7533
Phone Number
208-529-7147
Fax Number
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8L006 01 ID BLUE CROSS OF IDAHO
institution
Provider Business Practice Location Address Details
Address
3100 Channing Way
City
Idaho Falls
State
Idaho
Zip
83404-7533
Phone Number
208-529-7147
Fax Number
person
Provider Business Mailing Address Details
Address
3100 Channing Way
City
Idaho Falls
State
Idaho
Zip
83404-7533
Phone Number
208-529-7147
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecologic Oncology
Taxonomy
207VX0201X
License No.
()
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 resulting complications.
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