Whalio Doctors

NPI 1275577827

Pinnacle Health Systems

Organisation Psychiatry Physician Idaho Falls, ID

Practice location

Address
1522 Elk Creek Drive, Idaho Falls, ID 83404
Phone
(208) 552-0920
Fax
(208) 529-2564

Authorised official

Name
Donevan B Neider
Title
Owner
Phone
(208) 552-0920

Registered specialties (2)

Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Registry record

NPI
1275577827
Entity type
Organization
NPI issued
15 Jun 2006
Record last updated
6 May 2009

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.