Organization
HUMAN DYNAMICS AND DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKOLA ANDERSEN (OFFICE MANAGER)
(208) 524-4953
Entity
Organization
Contact information
Practice address
2267 TETON PLZ, IDAHO FALLS, ID 83404-6486
(208) 524-4953
(208) 524-4953
Mailing address
2267 TETON PLZ, IDAHO FALLS, ID 83404-6486
(208) 524-4953
(208) 524-4953
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/06/2008
Last updated
11/05/2009
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