Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.
Primary Practice Address
Last Updated 9/25/2022
Special Operations Team
Variable locations
,
Phone: 800-342-2898
Location Details
- Practitioner spends 50% of time at this location.
- Non-English Languages spoken by Practitioner
Spanish Vietnamese
Additional Practice Address
Last Updated 9/25/2022
HCA Eastern Idaho Regional Medical Center (EIRMC)
3100 Channing Way
Idaho Falls, ID 83404
Phone: 208-529-6111
Location Details
- Practitioner spends 50% of time at this location.
- Non-English Languages spoken by Practitioner
Spanish Vietnamese
Years in Active Clinical Practice
Last Updated 9/25/2022
Years in Active Clinical Practice Inside US/Canada: 3
Medicaid
Last Updated 9/25/2022
Does Not Participate in the Virginia Medicaid program Is not accepting new Virginia Medicaid patients
Medicare
Last Updated 9/25/2022
Is a Medicare participating provider
Is a Medicare Non-participating provider Is accepting new Medicare patients
Virginia
Hospital Affiliations
Last Updated 9/25/2022
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 9/25/2022
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