Idaho Em I Medical Services PC

NPI #1053786467 in Pocatello, Idaho

Provider Information

NPI Number: 1053786467
Entity Type: Organization
Organization Name: Idaho Em I Medical Services PC
Primary Specialty: Emergency Medicine
Enumeration Date: Dec 10, 2015
Last Updated: Dec 10, 2015

Practice Location

Address: 777 HOSPITAL WAY
City: Pocatello
State: Idaho
ZIP Code: 83201-5175
Phone: (469) 401-2386

Authorized Official

Name: MARK J SLEPIN, MD
Title: PRESIDENT
Phone: (469) 401-2386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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