IDAHO REGIONAL HAND & UPPER EXTREMITY CENTER PLLC
Organization (NPI-2)
Active
Orthopaedic Surgery, Hand Surgery
Provider Information
- NPI Number
1003157801- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 444 HOSPITAL WAY STE 710, POCATELLO, ID, 83201
- Phone
- (208) 235-4263
- Fax
- (208) 233-4268
Specialties & Taxonomies
Orthopaedic Surgery, Hand Surgery
License: ID #M-8547
Physician Assistant, Surgical
License: ID #PA-684
Orthopaedic Surgery, Hand Surgery
Primary License: ID #O-0574