Organization
GRAND TETON GASTROENTEROLOGY
Active
Other names
Digestive Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA DAWN LEMONS CCS-P (BILLING MANAGER)
(208) 528-4255
Entity
Organization
Contact information
Practice address
2770 CORTEZ AVE, IDAHO FALLS, ID 83404-7590
(208) 522-4000
(208) 528-4242
Mailing address
2770 CORTEZ AVE, IDAHO FALLS, ID 83404-7590
(208) 522-4000
(208) 528-4242
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
ID
Other
Enumeration date
02/28/2008
Last updated
02/29/2008
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