NPI 1265683445

Pocatello Orthopaedics and Sports Medicine Institute PA

Organisation Specialist Pocatello, ID

Practice location

Address: 333 N 18th Ave Suite D-1, Pocatello, ID 83201-3358
Phone: (208) 233-2100
Fax: (208) 233-3146

Authorised official

Name: Rebecca J Smith
Title: Office Manager
Phone: (208) 233-2100

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1265683445
Entity type: Organization
NPI issued: 6 Oct 2008
Record last updated: 6 Oct 2008

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.