Craig D Scoville, MD, PC
Organization Active NPI Rheumatology Physician · Idaho Falls, ID
NPI 1124252952 · NPPES record last updated Nov 2, 2009
Key facts
- NPI
- 1124252952
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rheumatology Physician 207RR0500X
- License
- M5232 (ID)
- Legal business name
- CRAIG D SCOVILLE, MD, PC
- Practice address
- 2220 E. 25TH Street
Idaho Falls, ID 83404 - Phone
- (208) 542-9080
- Fax
- (208) 542-9081
- NPI assigned
- May 7, 2009
- Organization subpart
- No
Authorized official
- Name
- Craig D Scoville, MD
- Title
- President
- Phone
- (208) 542-9080
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician |
207RR0500X | M5232 | ID | Yes |
Addresses
Primary practice location
2220 E. 25TH Street
Idaho Falls, ID 83404
Mailing address
2220 E. 25TH Street
Idaho Falls, ID 83404
Phone (208) 542-9080
Other providers in Idaho Falls, ID
- Annette Marie Cowley
- Amber Cox
- Augusta Kumba Cox
- Debra Ann Cox
- Sarah Dawn Cox
- Craig Darrington DDS PLLC
- Craig J Denny MD Prof Corp
- Craig J Denny MD Prof Corp
- Douglas E. Craig
- Tina Crain
All providers in Idaho Falls, ID · Rheumatology Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.