Organization
HUMAN DYNAMICS AND DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELLISSA OCKERMAN (OFFICE MANAGER)
(208) 522-0140
Entity
Organization
Contact information
Practice address
111 LILLIAN ST STE 204, SALMON, ID 83467-4301
(208) 756-2344
(208) 756-2354
Mailing address
2267 TETON PLZ, IDAHO FALLS, ID 83404-6486
(208) 524-4953
(208) 524-4953
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
02/17/2011
Last updated
04/25/2023
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