NPI 1083810287

Austin C Gillette

Practitioner Family Medicine Physician Rexburg, ID

Practice location

Address: 21 Winn Dr, Rexburg, ID 83440-5277
Phone: (208) 881-5222
Fax: (877) 441-4715

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence M-10581 (ID)

Other Family Medicine providers in Idaho →

Registry record

NPI: 1083810287
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jun 2007
Record last updated: 19 Nov 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.