institution
Mountain States Cardiovascular And
Specialist in Idaho Falls, Idaho
NPI 1306862503

Mountain States Cardiovascular And is a Specialist based in Idaho Falls, ID. Mountain States Cardiovascular And practices in Idaho Falls, ID. The NPI Number for Mountain States Cardiovascular And is 1306862503 and holds a License No. M-6479 M-7194 (Idaho).

The current practice location address for Mountain States Cardiovascular And is 2225 Teton Plz Ste B, Idaho Falls, ID and can be reached out via phone at 208-524-4660.

Location: 2225 Teton Plz Ste B, Idaho Falls, ID, 83404-6494
institution
Provider Profile Details
NPI Number
1306862503
Provider Name
Mountain States Cardiovascular And
Credential
Provider Entity Type
Organization
Address
2225 Teton Plz Ste B, Idaho Falls, ID, 83404-6494
Phone Number
208-524-4660
Fax Number
Provider Enumeration Date
07/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8A943 01 ID BLUE CROSS GROUP #
29390 01 ID BLUE SHIELD GROUP #
institution
Provider Business Practice Location Address Details
Address
2225 Teton Plz Ste B
City
State
Zip
83404-6494
Phone Number
208-524-4660
Fax Number
person
Provider Business Mailing Address Details
Address
2225 Teton Plz Ste B
City
State
Zip
83404-6494
Phone Number
208-524-4660
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
M-6479 M-7194 (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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