SEASONS MEDICAL PLLC NPI 1174699722

NPI Information

SEASONS MEDICAL, PLLC is an obstetrics gynecology in Rexburg, ID. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SEASONS MEDICAL, PLLC NPI is 1174699722. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

37 S 2ND E
REXBURG, ID
ZIP 83440
Phone: (208) 356-0234
Fax: (208) 656-0365

The provider's authorized official is Geoff Schwiermann .
The authorized official title is Administrator and has the following contact phone number (208) 356-0234.

The CLIA number assigned to this NPI record is 13D0705352 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/27/2006 and was last updated on 7/18/2018.

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:

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