IndividualActive
John Liljenquist, MD
NPI 1619977600 · Endocrinology, Diabetes & Metabolism Physician · Idaho Falls, ID
Provider details
- NPI number
- 1619977600
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M4220 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2220 E 25th St
Idaho Falls, ID 83404-7542
Phone: (208) 522-2996
Fax: (208) 523-6025
Approximate (ZIP-level) locationGet directions
Mailing address
3910 Washington Pkwy
Idaho Falls, ID 83404-7596
Registry dates
- Enumerated
- 2005-07-30
- Last updated
- 2010-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.