Grand Teton Child Neurology
Child Neurology Clinic
2225 Teton Plz Ste B, Idaho Falls
Idaho, 83404-6494
208-529-4300 208-529-1627
Maps & DirectionsGrand Teton Child Neurology is a Child 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 specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
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: | Child 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.
*
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.