NPI 1003157801

Idaho Regional Hand & Upper Extremity Center PLLC

Organisation Orthopaedic Hand Surgery Physician Pocatello, ID

Practice location

Address: 444 Hospital Way STE 710, Pocatello, ID 83201
Phone: (208) 235-4263
Fax: (208) 233-4268
Mailing address: 444 Hospital Way STE 710, Pocatello, ID 83201-2745

Authorised official

Name: Jeffrey Dee Stucki
Title: President
Phone: (208) 235-4263

Registered specialties (3)

Orthopaedic Hand Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207XS0106X Licence O-0574 (ID)

Other Orthopaedic Surgery providers in Idaho →

Orthopaedic Hand Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207XS0106X Licence M-8547 (ID)

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA-684 (ID)

Other Physician Assistant providers in Idaho →

Registry record

NPI: 1003157801
Entity type: Organization
NPI issued: 5 Mar 2013
Record last updated: 30 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.