Whalio Doctors

NPI 1033296330

Richard a Wathne, MD

Practitioner Sports Medicine (Orthopaedic Surgery) Physician Pocatello, ID

Practice location

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

Registered specialties

Sports Medicine (Orthopaedic Surgery) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207XX0005X Licence M6663 (ID)

Registry record

NPI
1033296330
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Nov 2006
Record last updated
7 Sep 2021

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.