BURN AND RECONSTRUCTIVE CENTERS OF IDAHO, PLLC is a specialist in Idaho Falls, ID. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BURN AND RECONSTRUCTIVE CENTERS OF IDAHO, PLLC NPI is 1902360639. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404-533
Phone: (706) 863-9595
Fax: (706) 868-8375
The provider's authorized official is Shawn Fagan .
The authorized official title is Cmo and has the following contact phone number (706) 863-9595.
The enumeration date for this NPI number is 1/28/2019 and was last updated on 5/18/2021.