GRAND TETON CHILD NEUROLOGY

IDAHO FALLS, ID
NPI1639322258
Entity TypeOrganization
Authorized ContactPETER W CASTELLANOS
Neurologist
208-529-4300
Organization Subpart ?No
Primary Taxonomy2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
Additional Taxonomies251S00000X 
Enumeration Date2008-10-28
Last Update Date2021-08-17
Business Address
GRAND TETON CHILD NEUROLOGY
2225 TETON PLZ STE B
IDAHO FALLS, ID 83404-6494
Phone number: 208-529-4300
Mailing Address
GRAND TETON CHILD NEUROLOGY
2225 TETON PLZ STE B
IDAHO FALLS, ID 83404-6494
Phone number: 208-529-4300