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CRAIG D SCOVILLE MD PC NPI 1124252952


NPI Information

NPI: 1124252952
Provider Name: CRAIG D SCOVILLE, MD, PC
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
2220 E. 25TH STREET
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 542-9080
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CRAIG D SCOVILLE, MD, PC is a rheumatology internal medicine in Idaho Falls, ID. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. CRAIG D SCOVILLE, MD, PC NPI is 1124252952. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2220 E. 25TH STREET
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 542-9080
Fax: (208) 542-9081

The provider's authorized official is Craig D Scoville .
The authorized official title is President and has the following contact phone number (208) 542-9080.

The enumeration date for this NPI number is 5/7/2009 and was last updated on 11/2/2009.


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
1207RR0500XInternal MedicineRheumatologyM5232IDAHOYes

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
11119462MEDICARE PIN

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: 11/14/2023

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