NPI 1528127057

Greenwald Neurosurgical PC

Organisation Surgery Physician Idaho Falls, ID

Practice location

Address: 3155 Channing Way Suite B, Idaho Falls, ID 83404-7561
Phone: (208) 535-4800
Fax: (208) 535-4807

Authorised official

Name: Janeene Anne Ditmore
Title: Office Manager
Phone: (208) 535-4800

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Idaho →

Registry record

NPI: 1528127057
Entity type: Organization
NPI issued: 8 Dec 2006
Record last updated: 25 Jun 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.