NPI 1013896505

Jaime Weidner

Practitioner Other Technician Pocatello, ID

Practice location

Address: 151 N 3rd Ave STE 330, Pocatello, ID 83201-6369
Phone: (208) 242-3771

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Idaho →

Registry record

NPI: 1013896505
Entity type: Individual
Sex (as registered): X
NPI issued: 28 Aug 2025
Record last updated: 28 Aug 2025

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.