NPI 1154390938

Grand Teton Gastroenterology, PA

Organisation Gastroenterology Physician Idaho Falls, ID

Practice location

Address: 2770 Cortez Ave, Idaho Falls, ID 83404-7590
Phone: (208) 522-4000
Fax: (208) 528-4242

Authorised official

Name: Melissa Dawn Lemons
Title: Billing Supervisor
Phone: (208) 528-4255

Registered specialties

Gastroenterology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RG0100X

Other Internal Medicine providers in Idaho →

Registry record

NPI: 1154390938
Entity type: Organization
NPI issued: 15 Mar 2006
Record last updated: 7 Jun 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.