NPI 1013931450

Jeff E Brockett, EDD

Practitioner Audiologist Pocatello, ID

Practice location

Address: 650 Memorial Dr Bldg 68, Pocatello, ID 83209-0001
Phone: (208) 282-2556
Mailing address: 650 Memorial Drive Box 8116, Pocatello, ID 83209

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence AUD1233 (ID)

Other Audiologist providers in Idaho →

Registry record

NPI: 1013931450
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jul 2006
Record last updated: 1 Apr 2013

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.