NPI 1437612447

Walter S Medlin MD PC

Organisation Surgery Physician Pocatello, ID

Practice location

Address: 777 Hospital Way, Pocatello, ID 83201-5175
Phone: (208) 239-2620
Mailing address: 1046 E 100 S, Salt Lake City, UT 84102-1520

Authorised official

Name: Walter Scott Edwards Medlin
Title: Owner
Phone: (406) 238-2500

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Idaho →

Registry record

NPI: 1437612447
Entity type: Organization
NPI issued: 8 Apr 2019
Record last updated: 8 Apr 2019

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.