Individual
GUY ERIC GROOMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 W SUNNYSIDE RD STE 2, IDAHO FALLS, ID 83402-4647
(208) 357-9700
(208) 963-3245
Mailing address
535 W SUNNYSIDE RD STE 2, IDAHO FALLS, ID 83402-4647
(208) 357-9700
(208) 963-3245
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
20183
OK
207X00000X
Orthopaedic Surgery Physician
Primary
M-13759
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100213780A
—
OK
Enumeration date
06/17/2005
Last updated
06/18/2025
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