Madison McKenzi De Loera
Madison McKenzi De Loera is a Physical Medicine & Rehabilitation Physician in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2019.
- Licensed in
- ID
- In the registry since
- 2019
Practice location Address checks out
720 S Woodruff AveIdaho Falls, ID 83401-5285
Phone: (208) 552-5025
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Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence PTA-6160 (ID) |
|---|
Record details
| NPI number | 1740827385 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 2, 2019 |
| Last updated in NPPES | December 2, 2019 |
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