# LIFE SPRING WOMEN'S CLINIC, P.A.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265635346
- **Authorized official:** CRAIG Z. HALL M.D. (PRESIDENT)
- **Authorized official phone:** (208) 523-8844

## Contact information

- **Practice address:** 1660 JOHN ADAMS PKWY, IDAHO FALLS, ID 83401-4360
- **Practice address phone:** (208) 523-8844
- **Mailing address:** 1660 JOHN ADAMS PKWY, IDAHO FALLS, ID 83401-4360
- **Mailing address phone:** (208) 523-8844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | RPA-214 | ID | Yes |
| 363L00000X | Nurse Practitioner | NP-253A | IN | — |

## Other

- **Enumeration date:** 06/07/2007
- **Last updated:** 09/13/2007