NPI 1184788226

Shirley Yellowhair, CST

Practitioner Surgical Technologist Pocatello, ID

Practice location

Address: 1950 E Clark St STE a, Pocatello, ID 83201
Phone: (208) 232-5550
Fax: (208) 232-5553
Mailing address: PO Box 4948, Pocatello, ID 83201

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence 050663 (ID)

Other Specialist/Technologist, Other providers in Idaho →

Registry record

NPI: 1184788226
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Dec 2006
Record last updated: 8 Jul 2007

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.