Eagle Rock Regional Neurology, P.c.
Neurology Clinic
1995 E 17th St, Ste 5, Idaho Falls
Idaho, 83404-6493
208-552-5700 208-552-5703
Maps & DirectionsEagle Rock Regional Neurology, P.c. is a Neurology Clinic in Idaho Falls, Idaho. It is located at 1995 E 17th St, Ste 5, Idaho Falls, ID and its contact number is 208-552-5700. The authorized person for Eagle Rock Regional Neurology, P.c. is Dr. William Karl Domarad
who is Physician of the clinic and his/her contact number is 208-552-5700. The primary license number for Eagle Rock Regional Neurology, P.c. is O343 (Neurology) in Idaho.
Eagle Rock Regional Neurology, P.c. Clinic specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Clinic Profile:
Eagle Rock Regional Neurology, P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Eagle Rock Regional Neurology, P.c. |
| Specialization: | Neurology |
| Clinic Address: | 1995 E 17th St, Ste 5, Idaho Falls,
Idaho, 83404-6493 |
| Phone: | 208-552-5700 |
| Fax: | 208-552-5703 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. William Karl Domarad |
| Position: | Physician |
| Contact Number: | 208-552-5700 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Eagle Rock Regional Neurology, P.c. clinic are as mentioned below.
| NPI Number: | 1710053756 |
| NPI Enumeration Date: | 28 Nov, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eagle Rock Regional Neurology, P.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Neurology | O343 | Idaho | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| S5247 | Other | Idaho | Blue Cross |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Eagle Rock Regional Neurology, P.c.
1995 E 17th St, Ste 5
Idaho Falls, Idaho |
| Zip: | 83404-6493 |
| Phone Number: | 208-552-5700 |
| Fax Number: | 208-552-5703 |
Patients can reach Eagle Rock Regional Neurology, P.c. at
1995 E 17th St, Ste 5, Idaho Falls, Idaho or can
call to book an appointment on 208-552-5700.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.