Mountain States Cardiovascular And
Mountain States Cardiovascular And 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
2225 Teton Plz Ste BIdaho Falls, ID 83404-6494
Phone: (208) 524-4660
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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-6479 M-7194 (ID) |
|---|
Record details
| NPI number | 1306862503 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lisa Alcox — Office Manager · (208) 524-4660 |
| Other names | Mountain States Cardiovascular And Thoracic Surgery, Pllc |
| NPI enumerated | July 14, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2225 Teton Plz Ste B, Idaho Falls, ID 83404-6494 |
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