Individual
MR. CRAIG D SCOVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2220 E 25TH ST, IDAHO FALLS, ID 83404-7542
(208) 542-9080
(208) 542-9081
Mailing address
2220 E 25TH ST, IDAHO FALLS, ID 83404-7542
(208) 542-9080
(208) 542-9081
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
M5232
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003958200
—
ID
Enumeration date
10/02/2006
Last updated
07/12/2013
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