Whalio Doctors

NPI 1780123950

Bmh, INC.

Organisation Dermatology Physician Idaho Falls, ID

Practice location

Address
3760 Washington Pkwy, Idaho Falls, ID 83404-7593
Phone
(208) 535-3637
Fax
(208) 522-2705
Mailing address
98 Poplar St, Blackfoot, ID 83221-1758

Authorised official

Name
Jacob Erickson
Title
Ceo
Phone
(208) 785-3801

Registered specialties (3)

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X
Interventional Pain Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Registry record

NPI
1780123950
Entity type
Organization
NPI issued
21 Feb 2017
Record last updated
18 Dec 2019

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.