institution
Southeast Idaho Gastroenterology, Pllc
Medical Physician Assistant in Pocatello, Idaho
NPI 1780867457

Southeast Idaho Gastroenterology, Pllc is a Medical Physician Assistant based in Pocatello, ID and is specialized in Medical. Southeast Idaho Gastroenterology, Pllc practices in Pocatello, ID. The NPI Number for Southeast Idaho Gastroenterology, Pllc is 1780867457 and holds a License No. PA-629 (Idaho).

The current practice location address for Southeast Idaho Gastroenterology, Pllc is 1151 Hospital Way Ste A, Pocatello, ID and can be reached out via phone at 208-232-6616 and via fax at 208-232-6618. You can also correspond with Southeast Idaho Gastroenterology, Pllc through the mailing address at 1151 HOSPITAL WAY STE A, POCATELLO, ID - 83201-5091 (mailing address contact number: 208-232-6616).

Location: 1151 Hospital Way Ste A, Pocatello, ID, 83201-5091
institution
Provider Profile Details
NPI Number
1780867457
Provider Name
Southeast Idaho Gastroenterology, Pllc
Credential
Provider Entity Type
Organization
Address
1151 Hospital Way Ste A, Pocatello, ID, 83201-5091
Phone Number
208-232-6616
Fax Number
208-232-6618
Provider Enumeration Date
12/17/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
806196200 05 ID
institution
Provider Business Practice Location Address Details
Address
1151 Hospital Way Ste A
City
State
Zip
83201-5091
Phone Number
208-232-6616
Fax Number
208-232-6618
person
Provider Business Mailing Address Details
Address
1151 Hospital Way Ste A
City
State
Zip
83201-5091
Phone Number
208-232-6616
Fax Number
208-232-6618
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-629 (Idaho)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in Pocatello, Idaho: