ERIC BALER
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1851935662- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3100 CHANNING WAY, IDAHO FALLS, ID, 834047533
- Phone
- (706) 863-9595
- Fax
- (706) 868-8375
Specialties & Taxonomies
Physician Assistant
License: GA #9790
Physician Assistant
Primary License: ID #PA-1822