Organization
SANTIBANEZ PAC IDAHO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ROSER (VP OF OPERATIONS)
(775) 222-0045
Entity
Organization
Contact information
Practice address
840 E ELVA ST, IDAHO FALLS, ID 83401-2801
(208) 523-4795
Mailing address
10775 DOUBLE R BLVD, RENO, NV 89521-8956
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/24/2023
Last updated
01/14/2025
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