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

Mountain States Diabetes Relief, LLC

Organization Endocrinology, Diabetes & Metabolism Physician · NPI 1144783499

Mountain States Diabetes Relief, LLC is an Endocrinology, Diabetes & Metabolism Physician in Idaho Falls, Idaho. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4573 E Majestic
Idaho Falls, ID 83406
Phone: (208) 520-2636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X

Record details

NPI number1144783499
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katie Davenport — Partner · (208) 520-2636
NPI enumeratedApril 12, 2019
Last updated in NPPESApril 12, 2019
Mailing address4573 E Majestic, Idaho Falls, ID 83406

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