Organization · Type 2 NPI

Greenwald Neurosurgical

Specialist · Idaho Falls, ID

NPI number 1124198403 Active

Practice location

3155 Channing Way, Suite B
Idaho Falls, ID 83404-7546

Fax (208) 535-4807

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XM-6947 (ID)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1124198403

Greenwald Neurosurgical's National Provider Identifier is 1124198403, issued on Nov 8, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jul 13, 2009.