Gary Earl Ellwein is an Anatomic Pathology & Clinical Pathology Physician based in Idaho Falls, ID and is specialized in Anatomic Pathology & Clinical Pathology. Gary Earl Ellwein practices in Idaho Falls, ID and has the professional credentials of MD. The NPI Number for Gary Earl Ellwein is 1063480804 and holds a License No. M3265 (Idaho).
The current practice location address for Gary Earl Ellwein is 3100 Channing Way, Idaho Falls, ID and can be reached out via phone at 208-529-6050 and via fax at 208-529-7085.
Identifier | Type | State | Issuer |
---|---|---|---|
003682000 | 05 | ID | |
000010003940 | 01 | ID | REGENCE BLUE SHIELD OF ID |
32625 | 01 | ID | BLUE CROSS OF IDAHO |
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