NPI 1407849060

Walter Kurt Birkenhagen, MD

Practitioner Surgery Physician Pocatello, ID

Practice location

Address: 500 S 11th Ave, Pocatello, ID 83201-4835
Phone: (208) 232-7434
Fax: (208) 233-6446

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence M3705 (ID)

Other Surgery providers in Idaho →

Registry record

NPI: 1407849060
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Aug 2005
Record last updated: 4 Mar 2013

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.