| Novotelehealth | |
|
329 S Woodruff Ave Idaho Falls ID 83401-4322 | |
| (208) 881-0085 | |
| (208) 881-0075 |
| Full Name | Novotelehealth |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 329 S Woodruff Ave, Idaho Falls, Idaho |
| Authorized Official Name and Position | Jennifer Knutson (OFFICE MANAGER) |
| Authorized Official Contact | 2088810085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novotelehealth 329 S Woodruff Ave Idaho Falls ID 83401-4322 Ph: (208) 881-0085 | Novotelehealth 329 S Woodruff Ave Idaho Falls ID 83401-4322 Ph: (208) 881-0085 |
| NPI Number | 1336817444 |
|---|---|
| Provider Enumeration Date | 09/02/2021 |
| Last Update Date | 09/02/2021 |
| Certification Date | 09/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336817444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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