OrganizationActive
Eagle Rock Regional Neurology, P.C.
NPI 1710053756 · Neurology Physician · Idaho Falls, ID
Provider details
- NPI number
- 1710053756
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Domarad, Physician(208) 552-5700
- License
- O343 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1995 E 17th St
Ste 5
Idaho Falls, ID 83404-6493
Phone: (208) 552-5700
Fax: (208) 552-5703
Approximate (ZIP-level) locationGet directions
Mailing address
1995 E 17th St
Idaho Falls, ID 83404-6493
Registry dates
- Enumerated
- 2006-11-28
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.