NPI 1245670793

Ashton Memorial, INC.

Organisation Psychiatry Physician Idaho Falls, ID

Practice location

Address: 1301 E 17th St STE 4, Idaho Falls, ID 83404-6273
Phone: (208) 523-0787
Fax: (208) 523-3175

Authorised official

Name: Suzanne Brady
Title: Hr Director
Phone: (205) 652-7461

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X

Other Psychiatry & Neurology providers in Idaho →

Registry record

NPI: 1245670793
Entity type: Organization
NPI issued: 28 Jun 2013
Record last updated: 28 Jun 2013

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.