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Dr. Jonathan D Godfrey, MD
Gastroenterology Physician in Pocatello, Idaho
NPI 1649474719

Jonathan D Godfrey is a Gastroenterology Physician based in Pocatello, ID and is specialized in Gastroenterology. Jonathan D Godfrey practices in Pocatello, ID and has the professional credentials of MD. The NPI Number for Jonathan D Godfrey is 1649474719 and holds a License No. M-11289 (Idaho).

The current practice location address for Jonathan D Godfrey is 1151 Hospital Way, Pocatello, ID and can be reached out via phone at 208-232-6616 and via fax at 208-232-6618.

Location: 1151 Hospital Way, Pocatello, ID, 83201-5091
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649474719
Provider Name
Jonathan D Godfrey
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1151 Hospital Way, Pocatello, ID, 83201-5091
Phone Number
208-232-6616
Fax Number
208-232-6618
Provider Enumeration Date
06/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1151 Hospital Way
City
Pocatello
State
Idaho
Zip
83201-5091
Phone Number
208-232-6616
Fax Number
208-232-6618
person
Provider Business Mailing Address Details
Address
1151 Hospital Way
City
Pocatello
State
Idaho
Zip
83201-5091
Phone Number
208-232-6616
Fax Number
208-232-6618
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
207RG0100X
License No.
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Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
M-11289 (Idaho)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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