-- ALAN JAKE POULTER -- MD
Individual Provider (NPI-1)
Active
Anesthesiology
Provider Information
- NPI Number
1912046913- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 2375 E SUNNYSIDE RD STE J, IDAHO FALLS, ID, 834048280
- Phone
- (208) 522-7246
- Fax
- (208) 529-2620
Specialties & Taxonomies
Anesthesiology
Primary License: NM #2004-0463