Southeast Idaho Family Practice
Southeast Idaho Family Practice is a Family Medicine Physician in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
Practice location Address checks out
2775 Channing WayIdaho Falls, ID 83404-7510
Phone: (208) 524-0133
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X (ID) |
|---|
Record details
| NPI number | 1982759007 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Connie Bates — Office Manager · (208) 524-6694 |
| NPI enumerated | January 25, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2775 Channing Way, Idaho Falls, ID 83404-7510 |
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-
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