Idaho Regional Hand & Upper Extremity Center PLLC
Idaho Regional Hand & Upper Extremity Center PLLC is an Orthopaedic Hand Surgery Physician in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2013.
- Licensed in
- ID
- In the registry since
- 2013
- Specialties on file
- 3
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
444 Hospital Way Ste 710Pocatello, ID 83201
Phone: (208) 235-4263
Fax: (208) 233-4268
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopaedic Hand Surgery Physician (primary) | Taxonomy 207XS0106X · Licence O-0574 (ID) |
|---|---|
| Orthopaedic Hand Surgery Physician | Taxonomy 207XS0106X · Licence M-8547 (ID) |
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence PA-684 (ID) |
Record details
| NPI number | 1003157801 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Stucki — President · (208) 235-4263 |
| NPI enumerated | March 5, 2013 |
| Last updated in NPPES | August 30, 2018 |
| Mailing address | 444 Hospital Way Ste 710, Pocatello, ID 83201-2745 |