Individual
DR. SARAH VLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2860 CHANNING WAY, SUITE 112, IDAHO FALLS, ID 83404-7531
(208) 535-4343
(208) 535-4344
Mailing address
2860 CHANNING WAY, SUITE 112, IDAHO FALLS, ID 83404-7531
(208) 535-4343
(208) 535-4344
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M10135
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8079447
—
ID
Enumeration date
04/17/2006
Last updated
06/06/2008
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