OrganizationActive
Eagle Rock Medical Center LLC
NPI 1083372890 · Physical Medicine & Rehabilitation Physician · Idaho Falls, ID
Provider details
- NPI number
- 1083372890
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kendon Howard, Ceo(208) 972-0420
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
919 S Utah Ave
Idaho Falls, ID 83402-3322
Phone: (208) 425-6020
Approximate (ZIP-level) locationGet directions
Mailing address
919 S Utah Ave
Idaho Falls, ID 83402-3322
Registry dates
- Enumerated
- 2021-11-30
- Last updated
- 2022-03-21
- Certified
- 2022-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.