East Falls Plastic Surgery Llc

NPI 1023267895 - Plastic Surgery - 208200000X

NPI Details
NPI 1023267895
Enumeration Date 09/16/2008
Last Updated 02/18/2010
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name DAVID J. DAVID
Position VP
Phone (208) 535-4565
Fax (208) 535-4564
Practice Location
2860 CHANNING WAY
SUITE 114A
IDAHO FALLS ID, 83404-7531, US
Phone (208) 535-4565
Fax (208) 535-4564
Business Location
2860 CHANNING WAY
SUITE 114A
IDAHO FALLS ID, 83404-7531, US
Phone (208) 535-4565
Fax (208) 535-4564
Toxanomy
Taxonomy Code 208200000X
License State
License Number
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According to our database, East Falls Plastic Surgery Llc NPI is 1023267895, taxonomy code is 208200000X East Falls Plastic Surgery Llc physically located at 2860 Channing Way, Idaho Falls ID, 83404-7531. NPI Number 1033115704 has the healthcare provider type.

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1023267895 NPI number is provided on an as is basis without warranty of any kind. 1023267895 is maintained by the National Plan & Provider Enumeration System. The contents of East Falls Plastic Surgery Llc are for informational purposes only.