Organization
FALLS MEDICAL AESTHETICS, PLLC
Active
Other names
Idaho Skin Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY RIETH (MANAGING MEMBER)
(208) 716-4741
Entity
Organization
Contact information
Practice address
3760 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7593
(208) 881-5779
Mailing address
3760 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7593
(208) 881-5779
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
11/29/2020
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