Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Greenwald Neurosurgical

Organization Specialist · NPI 1124198403

Greenwald Neurosurgical is a Specialist in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006

Practice location Address checks out

3155 Channing Way Ste B
Idaho Falls, ID 83404-7546
Phone: (208) 535-4800
Fax: (208) 535-4807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence M-6947 (ID)

Record details

NPI number1124198403
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janeene Ditmore — Office Manager · (208) 535-4800
NPI enumeratedNovember 8, 2006
Last updated in NPPESJuly 13, 2009
Mailing address3155 Channing Way, Suite B, Idaho Falls, ID 83404-7546

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