Individual
DR. PHILIP WILLIAM GIRLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2267 TETON PLZ, IDAHO FALLS, ID 83404-6486
(208) 522-0140
(208) 524-7335
Mailing address
2267 TETON PLZ, IDAHO FALLS, ID 83404-6486
(208) 522-0140
(208) 524-7335
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M8621
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010144418
REGENCE BLUE SHIELD
ID
05
—
1942257548
—
ID
01
—
78119
BLUE CROSS
ID
Enumeration date
05/28/2006
Last updated
01/17/2022
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