IndividualActive
Manuel Sierra, M.D.
NPI 1861467375 · Child & Adolescent Psychiatry Physician · Idaho Falls, ID
Provider details
- NPI number
- 1861467375
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A85395 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1740 E 17th St
Suite a
Idaho Falls, ID 83404-6375
Phone: (208) 346-7500
Approximate (ZIP-level) locationGet directions
Mailing address
300 Valleyview Dr
Pocatello, ID 83204-4708
Registry dates
- Enumerated
- 2006-02-19
- Last updated
- 2009-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.