NPI 1528152758

Judy PC

Organisation Surgery Physician Pocatello, ID

Practice location

Address: 500 S 11th Ave STE 501, Pocatello, ID 83201
Phone: (208) 232-7434
Fax: (208) 233-6446

Authorised official

Name: Claine Doyle Judy
Title: President
Phone: (208) 232-7434

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence C143842 (ID)

Other Surgery providers in Idaho →

Registry record

NPI: 1528152758
Entity type: Organization
NPI issued: 3 Oct 2006
Record last updated: 22 Aug 2007

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.