NPI 1497723241

Pathology Associates of Idaho Falls P a

Organisation Anatomic Pathology & Clinical Pathology Physician Idaho Falls, ID

Practice location

Address: 3100 Channing Way, Idaho Falls, ID 83404-7533
Phone: (208) 529-6050

Authorised official

Name: Matt Tannenbaum
Title: President
Phone: (208) 529-6050

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X

Other Pathology providers in Idaho →

Registry record

NPI: 1497723241
Entity type: Organization
NPI issued: 9 Mar 2006
Record last updated: 6 Mar 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.