person
Justin C Pool, PA-C
Surgical Physician Assistant in Pocatello, Idaho
NPI 1952402257

Justin C Pool is a Surgical Physician Assistant based in Pocatello, ID and is specialized in Surgical. Justin C Pool practices in Pocatello, ID and has the professional credentials of PA-C. The NPI Number for Justin C Pool is 1952402257 and holds a License No. 5124950-1206 (Idaho).

The current practice location address for Justin C Pool 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
person
Provider Profile Details
NPI Number
1952402257
Provider Name
Justin C Pool
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2240 E Center St, Pocatello, ID, 83201-2600
Phone Number
208-233-2100
Fax Number
208-233-3146
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA1007 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
5124950-1206 (Utah)
Definition
Definition to come...
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