NPI 1639535792

Anita Marie Goriup, REEGT

Practitioner EEG Technician Idaho Falls, ID

Practice location

Address: 3100 Channing Way, Idaho Falls, ID 83404-7533
Phone: (208) 529-6147
Mailing address: 2173 Calico Dr, Idaho Falls, ID 83402-2369

Registered specialties

EEG Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2472E0500X

Other Technician, Other providers in Idaho →

Registry record

NPI: 1639535792
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jan 2016
Record last updated: 5 Jan 2016

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.