NPI 1467053090

C Scott Needham MD PLLC

Organisation Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Idaho Falls, ID

Practice location

Address: 2805 Valencia Dr, Idaho Falls, ID 83404-7597
Phone: (208) 525-9400

Authorised official

Name: Charles Scott Needham
Title: Owner
Phone: (406) 690-2008

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X

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Registry record

NPI: 1467053090
Entity type: Organization
NPI issued: 2 Nov 2020
Record last updated: 2 Nov 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.