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Idaho Regional Hand & Upper Extremity Center Pllc
Surgical Physician Assistant in Pocatello, Idaho
NPI 1003157801

Idaho Regional Hand & Upper Extremity Center Pllc is a Surgical Physician Assistant based in Pocatello, ID and is specialized in Surgical. Idaho Regional Hand & Upper Extremity Center Pllc practices in Pocatello, ID. The NPI Number for Idaho Regional Hand & Upper Extremity Center Pllc is 1003157801 and holds a License No. O-0574 (Idaho).

The current practice location address for Idaho Regional Hand & Upper Extremity Center Pllc is 444 Hospital Way Ste 710, Pocatello, ID and can be reached out via phone at 208-235-4263 and via fax at 208-233-4268. You can also correspond with Idaho Regional Hand & Upper Extremity Center Pllc through the mailing address at 444 HOSPITAL WAY STE 710, POCATELLO, ID - 83201-2745 (mailing address contact number: 208-235-4263).

Location: 444 Hospital Way Ste 710, Pocatello, ID, 83201-2745
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003157801
Provider Name
Idaho Regional Hand & Upper Extremity Center Pllc
Credential
Provider Entity Type
Organization
Address
444 Hospital Way Ste 710, Pocatello, ID, 83201-2745
Phone Number
208-235-4263
Fax Number
208-233-4268
Provider Enumeration Date
03/05/2013
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
444 Hospital Way Ste 710
City
Pocatello
State
Idaho
Zip
83201
Phone Number
208-235-4263
Fax Number
208-233-4268
person
Provider Business Mailing Address Details
Address
444 Hospital Way Ste 710
City
Pocatello
State
Idaho
Zip
83201
Phone Number
208-235-4263
Fax Number
208-233-4268
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Hand Surgery
Taxonomy
207XS0106X
License No.
M-8547 (Idaho)
Definition
An orthopedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
O-0574 (Idaho)
Definition
Definition to come...
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