Individual
DR. SCOTT M PACKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-1647
(208) 535-4130
(208) 535-4125
Mailing address
PO BOX 1647, 2860 CHANNING WAY SUITE 115, IDAHO FALLS, ID 83403-1647
(208) 535-4130
(208) 535-4125
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M5990
ID
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
M5990
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3886500
—
ID
01
—
58180
BLUE CROSS
ID
Enumeration date
12/27/2005
Last updated
09/11/2025
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