Organization
IDAHO FALLS INFECTIOUS DISEASES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA I BUITRAGO M.D. (PARTNER/PHYSICIAN)
(208) 535-8400
Entity
Organization
Contact information
Practice address
3614 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7573
(208) 535-8400
(208) 535-8409
Mailing address
3614 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7573
(208) 535-8400
(208) 535-8409
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
ID
Other
Enumeration date
08/03/2006
Last updated
10/05/2022
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