Organization
NOVOTELEHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KNUTSON LPN (OFFICE MANAGER)
(208) 881-0085
Entity
Organization
Contact information
Practice address
329 S WOODRUFF AVE, IDAHO FALLS, ID 83401-4322
(208) 881-0085
(208) 881-0075
Mailing address
329 S WOODRUFF AVE, IDAHO FALLS, ID 83401-4322
(208) 881-0085
(208) 881-0075
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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