CDS,PA
Organization (NPI-2)
Active
Obstetrics & Gynecology
Provider Information
- NPI Number
1477501930- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 777 HOSPITAL WAY BLDG A, STE 300, POCATELLO, ID, 832015175
- Phone
- (208) 232-6100
- Fax
- (208) 239-3403
Specialties & Taxonomies
Obstetrics & Gynecology
Primary License: ID