OrganizationActive
Idaho Neurosurgery & Spine PLLC
NPI 1750787297 · Neurological Surgery Physician · Idaho Falls, ID
Provider details
- NPI number
- 1750787297
- Entity type
- Organization
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Clark Allen, Owner(208) 552-6210
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3345 Potomac Way
Idaho Falls, ID 83404
Phone: (208) 552-6210
Fax: (208) 552-2027
Approximate (ZIP-level) locationGet directions
Mailing address
3345 Potomac Way
Idaho Falls, ID 83404
Registry dates
- Enumerated
- 2014-11-11
- Last updated
- 2018-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.