Grand Teton Gastroenterology
Grand Teton Gastroenterology is a Nurse Practitioner in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2008.
- Licensed in
- ID
- In the registry since
- 2008
Practice location Address checks out
2770 Cortez AveIdaho Falls, ID 83404-7590
Phone: (208) 522-4000
Fax: (208) 528-4242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X (ID) |
|---|
Record details
| NPI number | 1457520900 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Melissa Lemons — Billing Manager · (208) 528-4255 |
| Other names | Digestive Health Center |
| NPI enumerated | February 28, 2008 |
| Last updated in NPPES | February 29, 2008 |
| Mailing address | 2770 Cortez Ave, Idaho Falls, ID 83404-7590 |
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