IDAHO REGIONAL HAND & UPPER EXTREMITY CENTER PLLC NPI 1003157801

NPI Information

IDAHO REGIONAL HAND & UPPER EXTREMITY CENTER PLLC is a hand surgery orthopaedic surgery in Pocatello, ID. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. IDAHO REGIONAL HAND & UPPER EXTREMITY CENTER PLLC NPI is 1003157801. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

444 HOSPITAL WAY STE 710
POCATELLO, ID
ZIP 83201
Phone: (208) 235-4263
Fax: (208) 233-4268

The provider's authorized official is Jeffrey Dee Stucki .
The authorized official title is President and has the following contact phone number (208) 235-4263.

The enumeration date for this NPI number is 3/5/2013 and was last updated on 8/30/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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