Organization
CRAIG D SCOVILLE, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG D SCOVILLE MD (PRESIDENT)
(208) 542-9080
Entity
Organization
Contact information
Practice address
2220 E. 25TH STREET, IDAHO FALLS, ID 83404
(208) 542-9080
(208) 542-9081
Mailing address
2220 E. 25TH STREET, IDAHO FALLS, ID 83404
(208) 542-9080
(208) 542-9081
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
M5232
ID
Other
Enumeration date
05/07/2009
Last updated
11/02/2009
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