Fall Creek Skin And Health Pllc, NPI 1629247093
Medical Physician Assistant in Rexburg, ID, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1629247093 |
| NPI Entity Type | Organization |
| Provider Name | Fall Creek Skin And Health Pllc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 534 Trejo St Ste 400, Rexburg, ID, US |
| Provider Mailing Address | Po Box 378, Rexburg, ID, US, 834400378 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. P.A.-C. Brett Gerald Bagley |
| Official Position | PHYSICIAN ASSISTANT CERTIFIED |
| Phone | 208-359-2263 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Medical Physician Assistant |
| Classification | |
| Group | |
| License No. | PA-215 |
| License State | ID |
| Description | Definition to come... |
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