NPI 1790939742

Stephanie Cook, MT

Practitioner Other Technician Pocatello, ID

Practice location

Address: 2100 S 2nd Ave APT 5c, Pocatello, ID 83201-6920
Phone: (208) 604-3185

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Idaho →

Registry record

NPI: 1790939742
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Nov 2008
Record last updated: 4 Nov 2008

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.