Whalio Doctors

NPI 1497012637

Tyler Hedin, MD

Practitioner Physical Medicine & Rehabilitation Physician Idaho Falls, ID

Practice location

Address
3200 Channing Way STE 306, Idaho Falls, ID 83404-7546
Phone
(208) 535-4400
Fax
(208) 535-4404
Mailing address
PO Box 741716, Atlanta, GA 30374-1716

Registered specialties

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence M-13194 (ID)

Registry record

NPI
1497012637
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Apr 2012
Record last updated
25 Nov 2020

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.