Eye Clinic Of Idaho Falls,pa

NPI 1093911133 - Ophthalmology - 207W00000X

NPI Details
NPI 1093911133
Enumeration Date 06/25/2007
Last Updated 09/15/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DAVID R DAVID
Position MEDICAL DIRECTOR
Phone (208) 529-3937
Fax (208) 524-4380
Practice Location
530 S HOLMES AVE
IDAHO FALLS ID, 83401-4751, US
Phone (208) 529-3937
Fax (208) 524-4380
Business Location
PO BOX 2410
IDAHO FALLS ID, 83403-2410, US
Phone (208) 529-3937
Fax (208) 524-4380
Toxanomy
Taxonomy Code 207W00000X
License State Idaho
License Number M3793
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According to our database, Eye Clinic Of Idaho Falls,pa NPI is 1093911133, taxonomy code is 207W00000X and license number is M3793, license state is located at Idaho. Eye Clinic Of Idaho Falls,pa physically located at 530 S Holmes Ave, Idaho Falls ID, 83401-4751. NPI Number 1033115704 has the healthcare provider type.

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1093911133 NPI number is provided on an as is basis without warranty of any kind. 1093911133 is maintained by the National Plan & Provider Enumeration System. The contents of Eye Clinic Of Idaho Falls,pa are for informational purposes only.