| Dr. Facer Psychiatry Pllc | |
|
1846 1st St. Suite 242 Idaho Falls ID 83401-9599 | |
| (406) 861-7841 | |
| Not Available |
| Full Name | Dr. Facer Psychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1846 1st St. Suite 242, Idaho Falls, Idaho |
| Authorized Official Name and Position | Kaden Facer (OWNER) |
| Authorized Official Contact | 4068617841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Facer Psychiatry Pllc 1846 1st St. Suite 242 Idaho Falls ID 83401-9599 Ph: () - | Dr. Facer Psychiatry Pllc 1846 1st St. Suite 242 Idaho Falls ID 83401-9599 Ph: (406) 861-7841 |
| NPI Number | 1215783212 |
|---|---|
| Provider Enumeration Date | 04/29/2024 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215783212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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