DIABETES AND INTERNAL MEDICINE
Organization (NPI-2)
Active
Internal Medicine
Provider Information
- NPI Number
1225257652- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2302 E. TERRY STREET, POCATELLO, ID, 83201
- Phone
- (208) 236-1600
Specialties & Taxonomies
Internal Medicine
Primary License: ID