OrganizationActive
Maternal Fetal Services of Utah LLC
NPI 1467675082 · Maternal & Fetal Medicine Physician · Idaho Falls, ID
Provider details
- NPI number
- 1467675082
- Entity type
- Organization
- Primary specialty
- Maternal & Fetal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeff Rydburg, Vp(615) 373-7415
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3100 Channing Way
Idaho Falls, ID 83404-7533
Phone: (208) 529-6111
Fax: (208) 529-7021
Approximate (ZIP-level) locationGet directions
Mailing address
3100 Channing Way
Idaho Falls, ID 83404-7533
Registry dates
- Enumerated
- 2007-04-11
- Last updated
- 2007-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.