Organization
FALLS MEDICAL AESTHETICS, PLLC
Active
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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