NPI 1023267895

East Falls Plastic Surgery LLC

Organisation Plastic Surgery Physician Idaho Falls, ID

Practice location

Address: 2860 Channing Way Suite 114a, Idaho Falls, ID 83404-7531
Phone: (208) 535-4565
Fax: (208) 535-4564

Authorised official

Name: David J. Kane
Title: Vp
Phone: (801) 568-5933

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Idaho →

Registry record

NPI: 1023267895
Entity type: Organization
NPI issued: 16 Sep 2008
Record last updated: 18 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.