| Idaho Falls Infectious Diseases, Pllc | |
|
3614 Washington Pkwy Idaho Falls ID 83404-7573 | |
| (208) 535-8400 | |
| (208) 535-8409 |
| Full Name | Idaho Falls Infectious Diseases, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3614 Washington Pkwy, Idaho Falls, Idaho |
| Authorized Official Name and Position | Martha I Buitrago (PARTNER/PHYSICIAN) |
| Authorized Official Contact | 2085358400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Falls Infectious Diseases, Pllc 3614 Washington Pkwy Idaho Falls ID 83404-7573 Ph: (208) 535-8400 | Idaho Falls Infectious Diseases, Pllc 3614 Washington Pkwy Idaho Falls ID 83404-7573 Ph: (208) 535-8400 |
| NPI Number | 1588672026 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 10/05/2022 |
| Medicare PECOS PAC ID | 9032133251 |
|---|---|
| Medicare Enrollment ID | O20060114000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588672026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (Idaho) | Primary |
| Provider Name | Martha Isabel Buitrago |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356349492 PECOS PAC ID: 7618874645 Enrollment ID: I20031217000447 |
| Provider Name | Richard A Nathan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942229570 PECOS PAC ID: 1850315078 Enrollment ID: I20071211000689 |
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