Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY EARL ELLWEIN, MD
ActiveAnatomic Pathology & Clinical Pathology · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1063480804
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 9, 2006 (20.127810569272 yrs)
- Last Updated
- Dec 27, 2012
- License
-
M3265 (ID)
Practice Information
- Address
-
3100 CHANNING WAYIDAHO FALLS, ID, 834047533Browse ID providers · Browse ZIP 83404
- Phone
- 2085296050
- Fax
- 2085297085
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
Other Anatomic Pathology & Clinical Pathology Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| FLOYD JOSEPH FANTELLI | MD | 1831167113 |
| MATT TANNENBAUM | MD | 1093783375 |
| DR. GABRIELE EMMA TEERMANN | MD | 1861461709 |
| CLARK R DAINES | MD | 1144264045 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.