Individual
CHAHEYLA ST AUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 535-4000
Mailing address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 535-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MRO-2422
ID
208600000X
Surgery Physician
MDO.89956LL
SC
Other
Enumeration date
06/26/2023
Last updated
06/22/2024
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