WESTERN CENTER FOR REHABILITATION
Restorative Service Providers in Idaho Falls, ID

License number
Idaho M9189
Category
Restorative Service Providers
Type
Rehabilitation Practitioner
Owner
Name: DR. SHANE CHRISTIAN MANGRUM M.D.
Title: OWNER
Phone: (208) 535-4343
Address
Address
2860 Channing Way 114, Idaho Falls, ID 83404
National Provider ID: 1225180110
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Restorative Service Providers licenses in Idaho










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