Organization
EAST FALLS CARDIOVASCULAR AND THORACIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID J KANE (VICE PRESIDENT OF OPERATIONS)
(801) 568-5936
Entity
Organization
Contact information
Practice address
2860 CHANNING WAY, STE 112, IDAHO FALLS, ID 83404-7532
(208) 535-4566
Mailing address
2860 CHANNING WAY, STE 112, IDAHO FALLS, ID 83404-7531
(208) 535-4566
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
ID
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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