Organization · Type 2 NPI
Grand Teton Child Neurology
Neurology with Special Qualifications in Child Neurology Physician · Idaho Falls, ID
NPI number
1639322258
Active
Practice location
2225 Teton Plz Ste B
Idaho Falls, ID 83404-6494
Fax (208) 529-1627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician Primary | 2084N0402X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
Neurology with Special Qualifications in Child Neurology Physician: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
2 other providers at this address
Other neurology with special qualifications in child neurology physician providers in Idaho Falls
About NPI 1639322258
Grand Teton Child Neurology's National Provider Identifier is 1639322258, issued on Oct 28, 2008. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in Idaho Falls, ID. The record was last updated on Aug 17, 2021.