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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None 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.