Organization
EASTERN IDAHO HEALTH SERVICES, INC
Active
Other names
Eastern Idaho Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG CRABTREE (CEO)
(208) 529-6111
Entity
Organization
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404
(208) 529-6269
Mailing address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 529-6269
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
193400000X
ID
Other
Enumeration date
12/09/2010
Last updated
08/27/2018
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