NPI 1023635018
Foothills Psychiatry and Addiction
Practice location
- Address
- 13734 S 1st E, Idaho Falls, ID 83404-7852
- Phone
- (208) 360-0288
Authorised official
- Name
- Jason Martin
- Title
- Psychiatric Nurse Practitioner
- Phone
- (208) 360-0288
Registered specialties
Psychiatry Physician
Primary
Registry record
- NPI
- 1023635018
- Entity type
- Organization
- NPI issued
- 25 Jun 2020
- Record last updated
- 25 Jun 2020
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.