Organization
EW GARLAND M.D. PA
Active
Other names
Idaho Falls Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EW GARLAND M.D. PA (OWNER)
(208) 227-0158
Entity
Organization
Contact information
Practice address
3920 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7596
(208) 227-0158
(208) 227-0159
Mailing address
3920 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7596
(208) 227-0158
(208) 227-0159
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M5926
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002744200
—
ID
01
—
DG4654
RR MEDICARE
ID
Enumeration date
06/29/2007
Last updated
11/27/2017
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