Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fall Creek Skin and Health PLLC

Organization Medical Physician Assistant · NPI 1629247093

Fall Creek Skin and Health PLLC provides Medical Physician Assistant services in Rexburg, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

534 Trejo St Ste 400
Rexburg, ID 83440
Phone: (208) 359-2263
Fax: (208) 359-2042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA-215 (ID)

Record details

NPI number1629247093
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Bagley — Physician Assistant Certified · (208) 359-2263
NPI enumeratedFebruary 29, 2008
Last updated in NPPESJune 26, 2018
Mailing addressPo Box 378, Rexburg, ID 83440-0378

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