| Eric A. Wingerson, D.o. & Digestive Health Center, Pc | |
|
1995 E 17th St Suite #4 Idaho Falls ID 83404-6493 | |
| (208) 524-3939 | |
| (208) 524-3950 |
| Full Name | Eric A. Wingerson, D.o. & Digestive Health Center, Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1995 E 17th St, Idaho Falls, Idaho |
| Authorized Official Name and Position | Eric A. Wingerson (OWNER) |
| Authorized Official Contact | 2085243939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric A. Wingerson, D.o. & Digestive Health Center, Pc 1995 E 17th St Suite #4 Idaho Falls ID 83404-6493 Ph: (208) 524-3939 | Eric A. Wingerson, D.o. & Digestive Health Center, Pc 1995 E 17th St Suite #4 Idaho Falls ID 83404-6493 Ph: (208) 524-3939 |
| NPI Number | 1780766071 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 04/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780766071 | NPI | - | NPPES |
| 002708700 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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