Individual provider · Type 1 NPI

Eliseo Guerra

Specialist · Idaho Falls, ID

NPI number 1366767790 Active

Practice location

457 I St
Idaho Falls, ID 83402-2842

Mailing address

457 I Steet
Idaho Falls, ID 83401

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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 1366767790

Eliseo Guerra's National Provider Identifier is 1366767790, issued on Mar 29, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Idaho Falls, ID. The record was last updated on Mar 29, 2010.