# ROCKY MOUNTAIN DIABETES AND OSTEOPOROSIS CENTER PA

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

## Provider details

- **NPI number:** 1336220243
- **Authorized official:** JANET M HOOVER (BILLING LEAD)
- **Authorized official phone:** (208) 522-2996

## Contact information

- **Practice address:** 3910 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7596
- **Practice address phone:** (208) 522-2996
- **Practice address fax:** (208) 523-3318
- **Mailing address:** 3910 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7883
- **Mailing address phone:** (208) 522-2996
- **Mailing address fax:** (208) 523-2582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | M4220 | ID | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | M7763 | ID | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | M9285 | ID | — |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 05/12/2026