NPI 1508086018

Idaho Falls Physical Medicine & Rehabilitation

Organisation Physical Medicine & Rehabilitation Physician Idaho Falls, ID

Practice location

Address: 2860 Channing Way Suite 213, Idaho Falls, ID 83404-7531
Phone: (208) 535-4420
Fax: (208) 535-4427

Authorised official

Name: David C Simon
Title: President
Phone: (208) 535-4420

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence M6825 (ID)

Other Physical Medicine & Rehabilitation providers in Idaho →

Registry record

NPI: 1508086018
Entity type: Organization
NPI issued: 26 Apr 2007
Record last updated: 22 Aug 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.