Organization
POST FALLS INTERNAL MEDICINE AND PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM S GREGG (BILLING CLERK)
(208) 773-0721
Entity
Organization
Contact information
Practice address
1300 E MULLAN SUTE 1600, POST FALLS, ID 83854
(208) 773-0721
(208) 773-3306
Mailing address
1300 E MULLAN SUTE 1600, POST FALLS, ID 83854
(208) 773-0721
(208) 773-3306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
17473
WA
207R00000X
Internal Medicine Physician
Primary
M3785
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7098353
—
WA
Enumeration date
02/28/2006
Last updated
08/22/2020
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