Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edward a Desano Jr MD PA

Organization Obstetrics & Gynecology Physician · NPI 1821127077

Edward a Desano Jr MD PA is an Obstetrics & Gynecology Physician in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

755 Hospital Way B 2
Pocatello, ID 83201-2717
Phone: (208) 232-0581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence M-3307 (ID)

Record details

NPI number1821127077
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marsha Desano — Office Manager · (208) 251-6690
NPI enumeratedMarch 5, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2110 N Mink Creek Rd, Pocatello, ID 83204-7207

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