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Contact Information

PATHOLOGY ASSOCIATES OF IDAHO FALLS P A
3100 CHANNING WAY
IDAHO FALLS, ID83404-7533
 Phone: 208-529-6050
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for PATHOLOGY ASSOCIATES OF IDAHO FALLS P A · (Female)

NPI Number 1497723241
Status Active
Credentials
Entity Individual
Enumeration date 03/09/2006
Last updated 03/06/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • ID Medicaid 002346700
  • ID Other 88971 BLUE CROSS OF ID
  • ID Other 000010026929 REGENCE BLUE SHIELD ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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