NPI 1184067613

Mara Additon, MD

Practitioner Surgery Physician Pocatello, ID

Practice location

Address: 777 Hospital Way STE 201, Pocatello, ID 83201-5175
Phone: (208) 239-2620
Mailing address: PO Box 4168, Pocatello, ID 83205-4168

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence M-14265 (ID)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1184067613
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Apr 2013
Record last updated: 13 Sep 2018

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.