Organization
PATIENTS FIRST NEONATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID J KANE (VP)
(801) 568-5999
Entity
Organization
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 535-4575
(208) 535-4569
Mailing address
2860 CHANNING WAY, SUITE #100, IDAHO FALLS, ID 83404-7531
(208) 535-4566
(208) 535-4569
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285786046
—
MT
05
—
1285786046
—
WY
05
—
807644200
—
ID
Enumeration date
01/18/2007
Last updated
12/23/2008
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