Organization
ERIC A. WINGERSON, D.O. & DIGESTIVE HEALTH CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC A. WINGERSON D.O. (OWNER)
(208) 524-3939
Entity
Organization
Contact information
Practice address
1995 E 17TH ST, SUITE #4, IDAHO FALLS, ID 83404-6493
(208) 524-3939
(208) 524-3950
Mailing address
1995 E 17TH ST, SUITE #4, IDAHO FALLS, ID 83404-6493
(208) 524-3939
(208) 524-3950
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002708700
—
ID
Enumeration date
10/19/2006
Last updated
04/02/2009
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