FALL CREEK SKIN AND HEALTH PLLC

REXBURG, ID
NPI1629247093
Entity TypeOrganization
Authorized ContactBRETT GERALD BAGLEY
Physician Assistant Certified
208-359-2263
Organization Subpart ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-215)
Enumeration Date2008-02-29
Last Update Date2018-06-26
Business Address
FALL CREEK SKIN AND HEALTH PLLC
534 TREJO ST STE 400
REXBURG, ID 83440
Phone number: 208-359-2263
Mailing Address
FALL CREEK SKIN AND HEALTH PLLC
PO BOX 378
REXBURG, ID 83440-0378
Phone number: 208-359-2263