Idaho State University
Idaho State University is a Family Medicine Physician in Pocatello, Idaho. Registered with an NPI since 2014.
- In the registry since
- 2014
- Specialties on file
- 4
Practice location Address checks out
921 S 8th Ave Stop 8173 Sports And Orthopaedic CenterPocatello, ID 83209-8173
Phone: (208) 282-3408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|---|
| Sports Medicine (Family Medicine) Physician | Taxonomy 207QS0010X |
| Orthopaedic Surgery Physician | Taxonomy 207X00000X |
| Sports Medicine (Orthopaedic Surgery) Physician | Taxonomy 207XX0005X |
Record details
| NPI number | 1801292115 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jodi Wotowey — Head Athletic Trainer · (208) 282-3408 |
| Other names | Idaho State Sports Medicine |
| NPI enumerated | November 13, 2014 |
| Last updated in NPPES | November 13, 2014 |
| Mailing address | 5050 Spring Valley Rd, Dallas, TX 75244-3995 |
Other providers in Pocatello
-
William E Hogan, MD
651 Memorial Dr, Pocatello, ID 83201-4071 · (208) 239-2110
-
Earl Evan Holmstead, MD
2006 Birdie Thompson Dr, Pocatello, ID 83201 · (208) 232-1132
-
Dr. Mark Horrocks, MD
845 W Center St Ste 200, Pocatello, ID 83204-4205 · (208) 232-6260
-
Idaho Modern Medicine - PLLC
1000 Pocatello Creek Rd Ste E10, Pocatello, ID 83201-2953 · (208) 317-5371
-
Isu Family Medicine
465 Memorial Dr, Pocatello, ID 83201-4008 · (208) 282-4700
-
Tyshae Jaggi, DO
465 Memorial Dr, Pocatello, ID 83201-4008 · (208) 232-7862
-
Eric Jensen, MD
465 Memorial Dr, Pocatello, ID 83201-4008 · (208) 234-4700
-
Kolby V Johnson, MD
465 Memorial Dr, Pocatello, ID 83201-4008 · (208) 282-4421