# EIRMC HOSPITALIST SERVICES, LLC

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

## Provider details

- **NPI number:** 1528390895
- **Authorized official:** DR. TONY B GOLDEN M.D (PHYSICIAN)
- **Authorized official phone:** (208) 227-2570

## Contact information

- **Practice address:** 3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
- **Practice address phone:** (208) 227-2570
- **Practice address fax:** (208) 227-2571
- **Mailing address:** 2860 CHANNING WAY, SUITE 213, IDAHO FALLS, ID 83404-7531
- **Mailing address phone:** (208) 227-2570
- **Mailing address fax:** (208) 227-2571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | 39651 | ID | Yes |

## Other

- **Enumeration date:** 02/11/2010
- **Last updated:** 12/07/2011