Eastern Idaho Medical Consultants

NPI 1326052630 - Internal Medicine - 207R00000X

NPI Details
NPI 1326052630
Enumeration Date 07/29/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SHAWN D SHAWN
Position PRESIDENT
Phone (208) 535-4300
Fax (208) 535-4315
Practice Location
3200 CHANNING WAY
STE. 205
IDAHO FALLS ID, 83404-7546, US
Phone (208) 535-4300
Fax (208) 535-4315
Business Location
3200 CHANNING WAY
STE. 205
IDAHO FALLS ID, 83404-7546, US
Phone (208) 535-4300
Fax (208) 535-4315
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Eastern Idaho Medical Consultants NPI is 1326052630, taxonomy code is 207R00000X Eastern Idaho Medical Consultants physically located at 3200 Channing Way, Idaho Falls ID, 83404-7546. NPI Number 1033115704 has the healthcare provider type.

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1326052630 NPI number is provided on an as is basis without warranty of any kind. 1326052630 is maintained by the National Plan & Provider Enumeration System. The contents of Eastern Idaho Medical Consultants are for informational purposes only.