NPI 1467675082
Maternal Fetal Services of Utah LLC
Practice location
- Address
- 3100 Channing Way, Idaho Falls, ID 83404-7533
- Phone
- (208) 529-6111
- Fax
- (208) 529-7021
Authorised official
- Name
- Jeff Rydburg
- Title
- Vp
- Phone
- (615) 373-7415
Registered specialties
Maternal & Fetal Medicine Physician
Primary
Registry record
- NPI
- 1467675082
- Entity type
- Organization
- NPI issued
- 11 Apr 2007
- Record last updated
- 5 Nov 2007
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.