Pocatello Pulmonary PC
Pocatello Pulmonary PC is a Pulmonary Disease Physician in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2006.
- Licensed in
- ID
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
500 S 11th Ave Ste 305Pocatello, ID 83201-4835
Phone: (208) 233-5864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pulmonary Disease Physician (primary) | Taxonomy 207RP1001X · Licence M5647 (ID) |
|---|
Record details
| NPI number | 1497766240 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cary Jackson — President · (208) 233-5864 |
| NPI enumerated | August 10, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 500 S 11th Ave, Suite 305, Pocatello, ID 83201-4835 |
Other providers in Pocatello
-
Dr. Steven M Krawtz, MD
500 S 11th Ave Ste 305, Pocatello, ID 83201-4835 · (208) 233-5864