Southeast Idaho Gastroenterology, PLLC
Southeast Idaho Gastroenterology, PLLC is a Gastroenterology Physician in Pocatello, Idaho. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1151 Hospital Way Bldg APocatello, ID 83201-2763
Phone: (208) 232-6616
Fax: (208) 232-6618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gastroenterology Physician (primary) | Taxonomy 207RG0100X |
|---|
Record details
| NPI number | 1295754265 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Darryl Cook — Member · (208) 232-6616 |
| NPI enumerated | July 19, 2006 |
| Last updated in NPPES | September 25, 2012 |
| Mailing address | Po Box 4788, Pocatello, ID 83205-4788 |
Other providers in Pocatello
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Darryl Bruce Cook, MD
1151 Hospital Way Bldg A, Pocatello, ID 83201-2763 · (208) 232-6616
-
Thomas Vance Davis, DO
1151 Hospital Way Bldg A, Pocatello, ID 83201-2763 · (208) 232-6616
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Charles Barclay Evans, MD
1151 Hospital Way Bldg A, Pocatello, ID 83201-2763 · (208) 232-6616
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Dr. Jonathan D Godfrey, MD
1151 Hospital Way Bldg A, Pocatello, ID 83201-5091 · (208) 232-6616