POCATELLO ORTHOPAEDICS AND SPORTS MEDICINE INSTITUTE PA NPI 1265683445

NPI Information

POCATELLO ORTHOPAEDICS AND SPORTS MEDICINE INSTITUTE PA is a specialist in Pocatello, ID. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. POCATELLO ORTHOPAEDICS AND SPORTS MEDICINE INSTITUTE PA NPI is 1265683445. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

333 N 18TH AVE
SUITE D-1
POCATELLO, ID
ZIP 83201-358
Phone: (208) 233-2100
Fax: (208) 233-3146

The provider's authorized official is Rebecca J Smith .
The authorized official title is Office Manager and has the following contact phone number (208) 233-2100.

The enumeration date for this NPI number is 10/6/2008 and was last updated on 10/6/2008.

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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