| Human Dynamics And Diagnostics | |
|
2267 Teton Plz Idaho Falls ID 83404-6486 | |
| (208) 524-4953 | |
| (208) 524-7335 |
| Full Name | Human Dynamics And Diagnostics |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2267 Teton Plz, Idaho Falls, Idaho |
| Authorized Official Name and Position | Nikola Andersen (OFFICE MANAGER) |
| Authorized Official Contact | 2085244953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Human Dynamics And Diagnostics 2267 Teton Plz Idaho Falls ID 83404-6486 Ph: (208) 524-4953 | Human Dynamics And Diagnostics 2267 Teton Plz Idaho Falls ID 83404-6486 Ph: (208) 524-4953 |
| NPI Number | 1306051792 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 11/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306051792 | NPI | - | NPPES |
| 807367100 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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