| Craig J Denny Md Prof Corp | |
|
2280 E 25th St Idaho Falls ID 83404-7542 | |
| (208) 227-2100 | |
| (208) 227-2362 |
| Full Name | Craig J Denny Md Prof Corp |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 2280 E 25th St, Idaho Falls, Idaho |
| Authorized Official Name and Position | Ellie Rock (OFFICE MANAGER) |
| Authorized Official Contact | 2083577774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Craig J Denny Md Prof Corp 13975 S 1st E Idaho Falls ID 83404-7853 Ph: (208) 357-7774 | Craig J Denny Md Prof Corp 2280 E 25th St Idaho Falls ID 83404-7542 Ph: (208) 227-2100 |
| NPI Number | 1770728040 |
|---|---|
| Provider Enumeration Date | 12/15/2008 |
| Last Update Date | 12/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770728040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | M-9188 (Idaho) | Primary |
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