Whalio Doctors

NPI 1134155666

Brent H. Greenwald, MD

Practitioner Neurological Surgery Physician Idaho Falls, ID

Practice location

Address
3155 Channing Way Suite B, Idaho Falls, ID 83404-7546
Phone
(208) 535-4800
Fax
(208) 535-4807

Registered specialties

Neurological Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence M-6947 (ID)

Registry record

NPI
1134155666
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Jun 2006
Record last updated
13 Jul 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.