Whalio Doctors

NPI 1689850877

Joseph Leon Martindale

Organisation Psychiatry Physician Chubbuck, ID

Practice location

Address
4460 Central Way STE 3, Chubbuck, ID 83202-5095
Phone
(208) 237-3612
Fax
(208) 237-5192

Authorised official

Name
Joseph Leon Martindale
Title
Owner
Phone
(208) 237-3612

Registered specialties

Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence O-0391 (ID)

Registry record

NPI
1689850877
Entity type
Organization
NPI issued
17 Jan 2008
Record last updated
17 Jan 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.