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Peter W Castellanos, MD
Neurology with Special Qualifications in Child Neurology Physician in Idaho Falls, Idaho
NPI 1811991474

Peter W Castellanos is a Neurology with Special Qualifications in Child Neurology Physician based in Idaho Falls, ID and is specialized in Neurology with Special Qualifications in Child Neurology. Peter W Castellanos practices in Idaho Falls, ID and has the professional credentials of MD. The NPI Number for Peter W Castellanos is 1811991474 and holds a License No. 01048179 (Idaho).

The current practice location address for Peter W Castellanos is 2225 Teton Plz Ste B, Idaho Falls, ID and can be reached out via phone at 208-529-4300 and via fax at 208-881-5121. You can also correspond with Peter W Castellanos through the mailing address at 2225 TETON PLZ STE B, IDAHO FALLS, ID - 83404-6494 (mailing address contact number: 208-529-4300).

Location: 2225 Teton Plz Ste B, Idaho Falls, ID, 83404-6494
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Provider Profile Details
NPI Number
1811991474
Provider Name
Peter W Castellanos
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2225 Teton Plz Ste B, Idaho Falls, ID, 83404-6494
Phone Number
208-529-4300
Fax Number
208-881-5121
Provider Enumeration Date
06/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200173520 05 IN
000000089466 01 IN ANTHEM BXBS
institution
Provider Business Practice Location Address Details
Address
2225 Teton Plz Ste B
City
State
Zip
83404-6494
Phone Number
208-529-4300
Fax Number
208-881-5121
person
Provider Business Mailing Address Details
Address
2225 Teton Plz Ste B
City
State
Zip
83404-6494
Phone Number
208-529-4300
Fax Number
208-881-5121
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
License No.
01048179 (Indiana)
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
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