NPI: 1427415272
Provider Name: NDZT, PC
Doing Business As: INFINITY WELLNESS CENTER, ADVANCED NEURODIAGNOSTICS
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization
Specialization: Medical Specialty
Address:
676 SHOULD AVE WEST
SUITE 14
TWIN FALLS, ID
ZIP 83301
Phone: (208) 421-4110
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NDZT, PC is a medical specialty clinic center in Twin Falls, ID. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). NDZT, PC NPI is 1427415272. The provider is registered as an organization entity type.
The provider Is Doing Business As Infinity Wellness Center, Advanced Neurodiagnostics.
The provider's business location address is:
676 SHOULD AVE WEST
SUITE 14
TWIN FALLS, ID
ZIP 83301
Phone: (208) 421-4110
Fax: (208) 906-8093
The provider's authorized official is Richard Powell .
The authorized official title is Ceo and has the following contact phone number (208) 421-4110.
The enumeration date for this NPI number is 1/25/2016 and was last updated on 7/6/2023.