Individual
ERIC SIEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 535-4790
Mailing address
4227 E 400 N, RIGBY, ID 83442-5524
(208) 535-4790
Taxonomy
Speciality
Code
Description
License number
State
1835I0206X
Infectious Diseases Pharmacist
Primary
P5609
ID
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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