SANTIBANEZ PAC IDAHO
Organization (NPI-2)
Active
Internal Medicine, Geriatric Medicine
Provider Information
- NPI Number
1346015948- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 840 E ELVA ST, IDAHO FALLS, ID, 834012801
- Phone
- (208) 523-4795
Specialties & Taxonomies
Internal Medicine, Geriatric Medicine
Primary
Physician Assistant
Nurse Practitioner