Individual
DR. R. DOUGLAS ISBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2065 E 17TH ST, SUITE D, IDAHO FALLS, ID 83404-8042
(208) 522-0747
(208) 522-9641
Mailing address
2065 E 17TH ST, SUITE D, IDAHO FALLS, ID 83404-8042
(208) 522-0747
(208) 522-9641
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M-4317
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002352400
—
ID
Enumeration date
08/29/2006
Last updated
08/22/2016
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