LIFE SPRING WOMEN'S CLINIC, P.A.
Organization (NPI-2)
Active
Physician Assistant
Provider Information
- NPI Number
1265635346- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1660 JOHN ADAMS PKWY, IDAHO FALLS, ID, 834014360
- Phone
- (208) 523-8844
Specialties & Taxonomies
Nurse Practitioner
License: IN #NP-253A
Physician Assistant
Primary License: ID #RPA-214