NPI 1780043042

Teton Obstetrics and Gynecology PA

Organisation Obstetrics & Gynecology Physician Idaho Falls, ID

Practice location

Address: 2001 S Woodruff Ave Suite 10, Idaho Falls, ID 83404-6374
Phone: (208) 523-2060

Authorised official

Name: Katie Davenport
Title: Billing
Phone: (208) 520-2636

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X

Other Obstetrics & Gynecology providers in Idaho →

Registry record

NPI: 1780043042
Entity type: Organization
NPI issued: 15 Feb 2016
Record last updated: 15 Feb 2016

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.