NPI 1033296330
Richard a Wathne, MD
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
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.