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TETON SURGICAL SPECIALTIES PLLC NPI 1043779127


NPI Information

NPI: 1043779127
Provider Name: TETON SURGICAL SPECIALTIES PLLC

Doing Business As: TETON HAND SURGERY

Classification: Surgery - 2086S0105X
Entity Type: Organization

Specialization: Surgery of the Hand

Address:
3369 MERLIN DR STE B
IDAHO FALLS, ID
ZIP 83404
Phone: (844) 919-4263
Get Directions

TETON SURGICAL SPECIALTIES PLLC is a surgery of the hand surgery in Idaho Falls, ID. The provider is a surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. TETON SURGICAL SPECIALTIES PLLC NPI is 1043779127. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Teton Hand Surgery.

The provider's business location address is:

3369 MERLIN DR STE B
IDAHO FALLS, ID
ZIP 83404-405
Phone: (844) 919-4263
Fax: (833) 513-0980

The provider's authorized official is Bruce James Watkins .
The authorized official title is Owner / Md and has the following contact phone number (844) 919-4263.

The enumeration date for this NPI number is 3/18/2019 and was last updated on 3/28/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0105XSurgerySurgery of the HandYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11326240425MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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