DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FLOYD JOSEPH FANTELLI, MD

Active

Anatomic Pathology & Clinical Pathology · IDAHO FALLS, ID

Registration Details

NPI Number
1831167113
Provider Type
Individual
Gender
Male
NPI Issued
Mar 10, 2006 (20.125023586671 yrs)
Last Updated
Jan 18, 2010
License
M4216 (ID)

Practice Information

Address
3100 CHANNING WAY
IDAHO FALLS, ID, 834047533
Browse 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
GARY EARL ELLWEIN MD 1063480804
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.