Organization
IDAHO NEUROSURGICAL CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CACH MD (OWNER)
(208) 542-1050
Entity
Organization
Contact information
Practice address
2375 E SUNNYSIDE RD, SUITE G, IDAHO FALLS, ID 83404-8280
(208) 542-1050
Mailing address
2375 E SUNNYSIDE RD, SUITE G, IDAHO FALLS, ID 83404-8280
(208) 542-1050
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
12/10/2008
Last updated
04/16/2013
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