IndividualActive
Samuel Zuckerman, M.D.
NPI 1831156595 · Pediatric Critical Care Medicine Physician · Idaho Falls, ID
Provider details
- NPI number
- 1831156595
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- J9854 (TX)
Practice location
Mountain Neonatology LLC
3100 Channing Way
Idaho Falls, ID 83404-7533
Phone: (602) 346-7013
Mailing address
3100 Channing Way
Idaho Falls, ID 83404-7533
Registry dates
- Enumerated
- 2006-04-27
- Last updated
- 2020-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.