NPI 1053786467

Idaho Em I Medical Services PC

Organisation Emergency Medicine Physician Pocatello, ID

Practice location

Address: 777 Hospital Way, Pocatello, ID 83201-5175
Phone: (469) 401-2386
Mailing address: 13737 Noel Rd #1600, Dallas, TX 75240-1331

Authorised official

Name: Mark J Slepin
Title: President
Phone: (469) 401-2386

Registered specialties (3)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X

Other Emergency Medicine providers in Idaho →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

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Registry record

NPI: 1053786467
Entity type: Organization
NPI issued: 10 Dec 2015
Record last updated: 10 Dec 2015

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.