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

Endobiogenic Integrative Medical Center

Organization Nutritionist · NPI 1821239781

Endobiogenic Integrative Medical Center is a Nutritionist in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2009.

Licensed in
ID
In the registry since
2009

Practice location Address checks out

357 W Center St Ste 204
Pocatello, ID 83204-3236
Phone: (208) 478-8400
Fax: (208) 232-6018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X (ID)

Record details

NPI number1821239781
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Annette Davis — Administrator · (208) 478-8400
NPI enumeratedMarch 23, 2009
Last updated in NPPESMarch 23, 2009
Mailing address357 W Center St Ste 204, Pocatello, ID 83204-3236

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