institution
Greenwald Neurosurgical
Specialist in Idaho Falls, Idaho
NPI 1124198403

Greenwald Neurosurgical is a Specialist based in Idaho Falls, ID. Greenwald Neurosurgical practices in Idaho Falls, ID. The NPI Number for Greenwald Neurosurgical is 1124198403 and holds a License No. M-6947 (Idaho).

The current practice location address for Greenwald Neurosurgical is 3155 Channing Way, Idaho Falls, ID and can be reached out via phone at 208-535-4800 and via fax at 208-535-4807. You can also correspond with Greenwald Neurosurgical through the mailing address at 3155 CHANNING WAY, IDAHO FALLS, ID - 83404-7546 (mailing address contact number: 208-535-4800).

Location: 3155 Channing Way, Idaho Falls, ID, 83404-7546
institution
Provider Profile Details
NPI Number
1124198403
Provider Name
Greenwald Neurosurgical
Credential
Provider Entity Type
Organization
Address
3155 Channing Way, Idaho Falls, ID, 83404-7546
Phone Number
208-535-4800
Fax Number
208-535-4807
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
76836 01 ID BLUE CROSS
8M987 01 ID BLUE CROSS PRACTICE
000010001551 01 ID BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
3155 Channing Way
City
State
Zip
83404-7546
Phone Number
208-535-4800
Fax Number
208-535-4807
person
Provider Business Mailing Address Details
Address
3155 Channing Way
City
State
Zip
83404-7546
Phone Number
208-535-4800
Fax Number
208-535-4807
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
M-6947 (Idaho)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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