Organization
EAST FALLS FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS JOSEPH (VP)
(615) 373-7630
Entity
Organization
Contact information
Practice address
3200 CHANNING WAY, IDAHO FALLS, ID 83404-7546
(208) 535-4567
(208) 535-4569
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 373-7600
(866) 346-1426
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/01/2012
Last updated
01/02/2023
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