Most Relevant Information
Provider Data
| NPI Number: | 1003278490 |
| Provider Name: | MELISSA GALLANT RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 30077 |
Most Important Dates
| Enumeration Date: | 03/24/2016 |
| Last Updated: | 03/24/2016 |
Provider Practice Location
150 SHOUP AVE
SUITE 17
IDAHO FALLS
ID
834023657
Practice Location Phone/Fax
| Phone: | 2085285700 |
| Fax: | 2085285747 |
Provider Mailing Location
150 SHOUP AVE
SUITE 17
IDAHO FALLS
ID
834023657
Provider Mailing Phone/Fax
| Phone: | 2085285700 |
| Fax: | 2085285747 |