FALL CREEK SKIN AND HEALTH PLLC is a medical physician assistant in Rexburg, ID. FALL CREEK SKIN AND HEALTH PLLC NPI is 1629247093. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
534 TREJO ST STE 400
REXBURG, ID
ZIP 83440
Phone: (208) 359-2263
Fax: (208) 359-2042
The provider's authorized official is Brett Gerald Bagley .
The authorized official title is Physician Assistant Certified and has the following contact phone number (208) 359-2263.
The CLIA number assigned to this NPI record is 13D1032996 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 2/29/2008 and was last updated on 6/26/2018.