Whalio Doctors

NPI 1801851589

Juan Jose Leon, MD

Practitioner Critical Care Medicine (Anesthesiology) Physician Pocatello, ID

Practice location

Address
777 Hospital Way Portneuf Heart and Vascular, Pocatello, ID 83201
Phone
(208) 239-2500

Registered specialties

Critical Care Medicine (Anesthesiology) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207LC0200X Licence TL3685 (ID)

Registry record

NPI
1801851589
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Apr 2006
Record last updated
3 Nov 2022

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.