NPI 1669490298

Russ McAffee, ATC

Practitioner Sports Medicine (Physical Medicine & Rehabilitation) Physician Pocatello, ID

Practice location

Address: 275 S. 5th Ave. STE. 140, Pocatello, ID 83201
Phone: (208) 232-4267
Mailing address: 31 Harvard St, Pocatello, ID 83201-3419

Registered specialties

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence AT-187 (ID)

Other Physical Medicine & Rehabilitation providers in Idaho →

Registry record

NPI: 1669490298
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 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.