Idaho Falls Hand Surgery

NPI 1205030368 - Specialist - 174400000X

NPI Details
NPI 1205030368
Enumeration Date 06/13/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TIM TIM
Position PHYSICIAN
Phone (208) 552-1759
Fax
Practice Location
933 S UTAH
IDAHO FALLS ID, 83404, US
Phone (208) 552-1759
Fax
Business Location
933 S UTAH
IDAHO FALLS ID, 83404, US
Phone (208) 552-1759
Fax
Toxanomy
Taxonomy Code 174400000X
License State Idaho
License Number M7428
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According to our database, Idaho Falls Hand Surgery NPI is 1205030368, taxonomy code is 174400000X and license number is M7428, license state is located at Idaho. Idaho Falls Hand Surgery physically located at 933 S Utah, Idaho Falls ID, 83404. NPI Number 1033115704 has the healthcare provider type.

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1205030368 NPI number is provided on an as is basis without warranty of any kind. 1205030368 is maintained by the National Plan & Provider Enumeration System. The contents of Idaho Falls Hand Surgery are for informational purposes only.