| Grand Teton Gastroenterology, PA | |
|
2770 Cortez Ave Idaho Falls ID 83404-7590 | |
| (208) 522-4000 | |
| (208) 528-4242 |
| Full Name | Grand Teton Gastroenterology, PA |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 2770 Cortez Ave, Idaho Falls, Idaho |
| Authorized Official Name and Position | Melissa Dawn Lemons (BILLING SUPERVISOR) |
| Authorized Official Contact | 2085284255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Teton Gastroenterology, PA 2770 Cortez Ave Idaho Falls ID 83404-7590 Ph: (208) 522-4000 | Grand Teton Gastroenterology, PA 2770 Cortez Ave Idaho Falls ID 83404-7590 Ph: (208) 522-4000 |
| NPI Number | 1154390938 |
|---|---|
| Provider Enumeration Date | 03/15/2006 |
| Last Update Date | 06/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154390938 | NPI | - | NPPES |
| 002708500 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
Shane G Machen, DO Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1995 E 17th St Ste A, Idaho Falls, ID 83404 Phone: 208-522-7666 Fax: 208-524-2821 |
Physician Skin Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-542-9111 |
Family First Medical Center, PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3614 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-552-7700 Fax: 208-552-1783 |
Imed Hrs Idaho Falls Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 801-507-3500 |
Neville Spinal Balance PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2145 West Broadway Street, Idaho Falls, ID 83402 Phone: 208-522-3130 |
R.K. Arbon, M.D., P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2860 Channing Way, Suite 116, Idaho Falls, ID 83404 Phone: 208-529-0575 Fax: 208-528-0223 |