Teton Plastic Surgery is a Plastic and Reconstructive Surgery Physician based in Idaho Falls, ID and is specialized in Plastic and Reconstructive Surgery. Teton Plastic Surgery practices in Idaho Falls, ID. The NPI Number for Teton Plastic Surgery is 1154549616 and holds a License No. M-8270 (Idaho).
The current practice location address for Teton Plastic Surgery is 2860 Channing Way, Idaho Falls, ID and can be reached out via phone at 208-552-1406 and via fax at 208-552-1416.
Identifier | Type | State | Issuer |
---|---|---|---|
M-8270 | 01 | ID | ID MEDICAL LICENSE |
5959620-1205 | 01 | UT | UT MEDICAL LICENSE |
5959620-8905 | 01 | UT | UT ST BOARD OF PHARMACY |
6687A | 01 | WY | WY MEDICAL LICENSE |
CS9201 | 01 | ID | ID ST BOARD OF PHARMACY |
58MKM02 | 01 | WY | WY ST BOARD OF PHARMACY |
04232007480947 | 01 | ID | DR.MOORE NPI TRCKNG# |
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