NPI 1134155666
Brent H. Greenwald, MD
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
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.