Grand Teton Child Neurology is a Neurology Clinic in Idaho Falls, Idaho. It is located at 2225 Teton Plz Ste B, Idaho Falls, ID and its contact number is 208-529-4300. The authorized person for Grand Teton Child Neurology is Dr. Peter W Castellanos
who is Neurologist of the clinic and his/her contact number is 208-529-4300.
Grand Teton Child Neurology Clinic has licensed physician, who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Neurologists are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.
Complete Clinic Profile:
Grand Teton Child Neurology Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Grand Teton Child Neurology |
| Specialization: | Neurology |
| Clinic Address: | 2225 Teton Plz Ste B, Idaho Falls,
Idaho, 83404-6494 |
| Phone: | 208-529-4300 |
| Fax: | 208-529-1627 |
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. Peter W Castellanos |
| Position: | Neurologist |
| Contact Number: | 208-529-4300 |
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 Grand Teton Child Neurology clinic are as mentioned below.
| NPI Number: | 1639322258 |
| NPI Enumeration Date: | 28 Oct, 2008 |
| NPI Last Update On: | 17 Aug, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grand Teton Child Neurology are as mentioned below.
| Specialization | License Number | State | Status | |
| Neurology with Special Qualifications in Child Neurology | | | Primary | |
| Community/behavioral Health | | | Secondary | |
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 |
| 77234 | Other | Idaho | Blue Cross Of Idaho |
| 807968700 | Medicaid | Idaho | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Grand Teton Child Neurology
2225 Teton Plz Ste B,
Idaho Falls, Idaho |
| Zip: | 83404-6494 |
| Phone Number: | 208-529-4300 |
| Fax Number: | 208-881-5121 |
Patients can reach Grand Teton Child Neurology at
2225 Teton Plz Ste B, Idaho Falls, Idaho or can
call to book an appointment on 208-529-4300.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.