| Foothills Psychiatry And Addiction | |
|
13734 S 1st E Idaho Falls ID 83404-7852 | |
| (208) 360-0288 | |
| Not Available |
| Full Name | Foothills Psychiatry And Addiction |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 13734 S 1st E, Idaho Falls, Idaho |
| Authorized Official Name and Position | Jason Martin (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 2083600288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothills Psychiatry And Addiction 13734 S 1st E Idaho Falls ID 83404-7852 Ph: (208) 360-0288 | Foothills Psychiatry And Addiction 13734 S 1st E Idaho Falls ID 83404-7852 Ph: (208) 360-0288 |
| NPI Number | 1023635018 |
|---|---|
| Provider Enumeration Date | 06/25/2020 |
| Last Update Date | 06/25/2020 |
| Certification Date | 06/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023635018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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