Whalio Doctors

NPI 1659870517

Orthoidaho LLC

Organisation Orthopaedic Surgery Physician Pocatello, ID

Practice location

Address
2240 E Center St, Pocatello, ID 83201-2600
Phone
(208) 233-2100
Fax
(208) 233-3146

Authorised official

Name
Rebecca J Smith
Title
Practice Administrator
Phone
(208) 233-2100

Registered specialties (5)

Orthopaedic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207X00000X
Sports Medicine (Family Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207QS0010X
Orthopaedic Surgery of the Spine Physician
Allopathic & Osteopathic Physicians Taxonomy 207XS0117X
Sports Medicine (Orthopaedic Surgery) Physician
Allopathic & Osteopathic Physicians Taxonomy 207XX0005X
Foot & Ankle Surgery Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X

Registry record

NPI
1659870517
Entity type
Organization
NPI issued
6 Feb 2018
Record last updated
6 Feb 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.