IDAHO SPORTS & SPINE PLLC
Organization (NPI-2)
Active
Family Medicine, Sports Medicine
Provider Information
- NPI Number
1033417035- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 950 HOSPITAL WAY STE A, POCATELLO, ID, 832012789
- Phone
- (208) 478-4522
- Fax
- (208) 478-2935
Specialties & Taxonomies
Family Medicine, Sports Medicine
Primary License: ID #O-0400