NPI 1083372890

Eagle Rock Medical Center LLC

Organisation Physical Medicine & Rehabilitation Physician Idaho Falls, ID

Practice location

Address: 919 S Utah Ave, Idaho Falls, ID 83402-3322
Phone: (208) 425-6020

Authorised official

Name: Kendon Howard
Title: Ceo
Phone: (208) 972-0420

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X

Other Physical Medicine & Rehabilitation providers in Idaho →

Registry record

NPI: 1083372890
Entity type: Organization
NPI issued: 30 Nov 2021
Record last updated: 21 Mar 2022

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.