Search › Idaho › 208100000X
Madison De Loera
NPI 1740827385 · on the registry since 2019
Practice
- Address
- 720 S Woodruff Ave
Idaho Falls, ID 83401 - Phone
- (208) 552-5025
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho