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

Teton Spine PLLC

Organization Neurological Surgery Physician · NPI 1669874012

Teton Spine PLLC is a Neurological Surgery Physician in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2014.

Licensed in
ID
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

333 N 18th Ave Ste B4
Pocatello, ID 83201
Phone: (208) 232-2233
Fax: (208) 232-2299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 0-0644 (ID)

Record details

NPI number1669874012
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Morgan — Owner · (208) 232-2233
NPI enumeratedSeptember 17, 2014
Last updated in NPPESMarch 8, 2016
Mailing address333 N 18th Ave, Suite B4, Pocatello, ID 83201

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