Organization
PATIENTS FIRST NEUROLOGY LLC
Active
Organization
PATIENTS FIRST NEUROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J. KANE (VP)
(801) 568-5999
Entity
Organization
Contact information
Practice address
2860 CHANNING WAY, STE 100, IDAHO FALLS, ID 83404-7531
(208) 535-4585
(208) 535-4569
Mailing address
2860 CHANNING WAY, STE 100, IDAHO FALLS, ID 83404-7531
(208) 535-4585
(208) 535-4569
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699942383
—
MT
05
—
1699942383
—
WY
01
—
8N521
BLUE CROSS OF ID
ID
Enumeration date
05/12/2008
Last updated
02/27/2009
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