Ted Rea, M.D. Valid NPI

Individual provider · Gastroenterology Physician · Twin Falls, ID

NPI

1497795215

Type

Individual (Type 1)

Primary specialty

Gastroenterology Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207RG0100X

License number

M6676 (ID)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-08

Last updated

2017-12-27