Organization
TETON CARDIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW J CARTER D.O. (PRESIDENT/OWNER)
(208) 524-3278
Entity
Organization
Contact information
Practice address
3200 CHANNING WAY, STE A201, IDAHO FALLS, ID 83404-7546
(208) 524-3278
(208) 524-6033
Mailing address
3200 CHANNING WAY, STE A201, IDAHO FALLS, ID 83404-7546
(208) 524-3278
(208) 524-6033
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
O-0543
ID
Other
Enumeration date
12/27/2011
Last updated
01/11/2012
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