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NPI Verification

National Provider Identifier: 1144783499

Mountain States Diabetes Relief, LLC

Organization

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Practice Address

4573 E MAJESTIC

IDAHO FALLS, ID 83406

Phone: 208-520-2636

NPI Enumeration Date

April 12, 2019

NPI Number

1144783499

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Mountain States Diabetes Relief, LLC - NPI 1144783499 | Provider Verification | HormoneMap