NPI 1356336440

Claine Doyle Judy, DO

Practitioner Surgery Physician Pocatello, ID

Practice location

Address: 755 Hospital Way STE A-5, Pocatello, ID 83201-2717
Phone: (208) 233-8444
Fax: (208) 233-6920
Mailing address: 755 Hospital Way, Pocatello, ID 83201-2795

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence O-279 (ID)

Other Surgery providers in Idaho →

Registry record

NPI: 1356336440
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Sep 2005
Record last updated: 22 Aug 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.