SOUTHEAST IDAHO GASTROENTEROLOGY, PLLC

Physician Assistant - Medical

Active Organization
NPI: 1780867457

Practice Address

1151 HOSPITAL WAY STE A
Pocatello, ID 83201

Phone: (208) 232-6616

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X Yes PA-629 (ID)

Frequently Asked Questions

NPI 1780867457 is the National Provider Identifier for SOUTHEAST IDAHO GASTROENTEROLOGY, PLLC, a Physician Assistant - Medical provider located in Pocatello, ID. This NPI was enumerated on December 17, 2007.

Quick Facts

NPI
1780867457
Type
Organization
Enumerated
Dec 17, 2007
Last Updated
Dec 17, 2007

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