# IDAHO FALLS INFECTIOUS DISEASES, PLLC

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

## Provider details

- **NPI number:** 1588672026
- **Authorized official:** DR. MARTHA I BUITRAGO M.D. (PARTNER/PHYSICIAN)
- **Authorized official phone:** (208) 535-8400

## Contact information

- **Practice address:** 3614 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7573
- **Practice address phone:** (208) 535-8400
- **Practice address fax:** (208) 535-8409
- **Mailing address:** 3614 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7573
- **Mailing address phone:** (208) 535-8400
- **Mailing address fax:** (208) 535-8409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | ID | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 10/05/2022