Organization
R.K. ARBON, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R.K. ARBON M.D. (OWNER/PROVIDER)
(208) 529-0575
Entity
Organization
Contact information
Practice address
2860 CHANNING WAY, SUITE 116, IDAHO FALLS, ID 83404-7531
(208) 529-0575
(208) 528-0223
Mailing address
2860 CHANNING WAY, SUITE 116, IDAHO FALLS, ID 83404-7541
(208) 529-0575
(208) 528-0223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M2465
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010005517
REGENCE BLUE SHIELD
ID
05
—
001102300
—
ID
01
—
2465-3
BLE CROSS OF IDAHO
ID
Enumeration date
02/19/2009
Last updated
02/19/2009
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