CDSPA NPI 1477501930

NPI Information

CDS,PA is an obstetrics gynecology in Pocatello, ID. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. CDS,PA NPI is 1477501930. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pocatello Women's Health Clinic.

The provider's business location address is:

777 HOSPITAL WAY
BLDG A, STE 300
POCATELLO, ID
ZIP 83201-175
Phone: (208) 232-6100
Fax: (208) 239-3403

The provider's authorized official is Donald A Dyer .
The authorized official title is President and has the following contact phone number (208) 232-3252.

The CLIA number assigned to this NPI record is 13D0934339 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/5/2006 and was last updated on 10/31/2011.

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:

Other Identifiers

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