Richard a Wathne, MD PA

NPI #1023146057 in Pocatello, Idaho

Provider Information

NPI Number: 1023146057
Entity Type: Organization
Organization Name: Richard a Wathne, MD PA
Primary Specialty: Specialist
Enumeration Date: Mar 1, 2007
Last Updated: Sep 7, 2021

Practice Location

Address: 2240 E CENTER ST
City: Pocatello
State: Idaho
ZIP Code: 83201-2600
Phone: (208) 233-2100

Authorized Official

Name: DR. RICHARD A WATHNE, MD
Title: PRESIDENT
Phone: (208) 233-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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