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Search › Idaho › 2084N0402X

Peter Castellanos, MD

NPI 1811991474 · on the registry since 2005 · sole proprietor

Practice

Address
2225 Teton Plz Ste B
Idaho Falls, ID 83404
Phone
(208) 529-4300
Fax
(208) 881-5121
Organisation at this address
Total Renal Care Inc
Grand Teton Child Neurology
Mountain States Cardiovascular And
Gem State Regional Dialysis Center
Simpson Dermcare And Family Medicine Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
2084N0402X
2084N0402X
Also registered as
2084N0402X
Licence states on file
IN, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-07-29

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