Craniospinal Institute PLLC
Craniospinal Institute PLLC is a Specialist in Idaho Falls, Idaho. Registered with an NPI since 2007.
- In the registry since
- 2007
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2860 Channing Way Ste 114Idaho Falls, ID 83404-7531
Phone: (208) 535-4343
Fax: (208) 535-4344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1851571376 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shane Mangrum — Owner · (208) 535-4343 |
| NPI enumerated | November 13, 2007 |
| Last updated in NPPES | January 4, 2008 |
| Mailing address | 2860 Channing Way, Ste 114, Idaho Falls, ID 83404-7531 |
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