Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETER W CASTELLANOS, MD
Active Sole ProprietorPETER W CASTELLANOS, MD is a Neurology with Special Qualifications in Child Neurology healthcare provider located in IDAHO FALLS, Idaho. NPI 1811991474 is currently active in the NPPES registry. Verify at CMS.
Neurology with Special Qualifications in Child Neurology · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1811991474
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2005 (21.224412174576 yrs)
- Last Updated
- Jul 29, 2021
- Licenses
-
01048179 (IN)M10191 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2225 TETON PLZ STE BIDAHO FALLS, ID, 834046494Browse ID providers · Browse ZIP 83404
- Phone
- 2085294300
- Fax
- 2088815121
- Primary Specialty
-
Neurology with Special Qualifications in Child Neurology
2084N0402X
- Additional Specialty
- Neurology with Special Qualifications in Child Neurology
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.