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Organization
EASTERN IDAHO HEALTH SERVICES, INC
Active
Organization
EASTERN IDAHO HEALTH SERVICES, INC
Active
Other names
Eastern Idaho Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG CRABTREE (CEO)
(208) 529-6111
Entity
Organization
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404
(208) 529-6269
Mailing address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 529-6269
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
193400000X
ID
Other
Enumeration date
12/09/2010
Last updated
08/27/2018
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