GRAND TETON GASTROENTEROLOGY

Nurse Practitioner

NPI: 1457520900Organization

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

Contact & Hours

Address: 2770 CORTEZ AVE
IDAHO FALLS, ID 83404
Phone: (208) 522-4000

Quick Facts

NPI: 1457520900
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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