institution
Richard A Wathne, Md Pa
Specialist in Pocatello, Idaho
NPI 1023146057

Richard A Wathne, Md Pa is a Specialist based in Pocatello, ID. Richard A Wathne, Md Pa practices in Pocatello, ID. The NPI Number for Richard A Wathne, Md Pa is 1023146057 and holds a License No. M6663 (Idaho).

The current practice location address for Richard A Wathne, Md Pa is 2240 E Center St, Pocatello, ID and can be reached out via phone at 208-233-2100 and via fax at 208-233-3146.

Location: 2240 E Center St, Pocatello, ID, 83201-2600
institution
Provider Profile Details
NPI Number
1023146057
Provider Name
Richard A Wathne, Md Pa
Credential
Provider Entity Type
Organization
Address
2240 E Center St, Pocatello, ID, 83201-2600
Phone Number
208-233-2100
Fax Number
208-233-3146
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CG1936 01 RAILROAD MEDICARE
185512700 01 US DEPT OF LABOR
000010000719 01 BLUE SHIELD OF ID
institution
Provider Business Practice Location Address Details
Address
2240 E Center St
City
State
Zip
83201-2600
Phone Number
208-233-2100
Fax Number
208-233-3146
person
Provider Business Mailing Address Details
Address
2240 E Center St
City
State
Zip
83201-2600
Phone Number
208-233-2100
Fax Number
208-233-3146
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
M6663 (Idaho)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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