NPI 1770948465

Bannock Inpatient Services PLLC

Organisation Emergency Medicine Physician Pocatello, ID

Practice location

Address: 777 Hospital Way, Pocatello, ID 83201-5175
Phone: (469) 401-2386
Mailing address: 13737 Noel Rd STE 1600, Dallas, TX 75240-1374

Authorised official

Name: Mark J Slepin
Title: President
Phone: (469) 401-2386

Registered specialties (2)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X

Other Emergency Medicine providers in Idaho →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Other Nurse Practitioner providers in Idaho →

Registry record

NPI: 1770948465
Entity type: Organization
NPI issued: 22 Dec 2015
Record last updated: 28 Dec 2015

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.