Pocatello Health Services, LLC

NPI #1154089126 in Pocatello, Idaho

Provider Information

NPI Number
1154089126
Entity Type
Organization
Organization Name
Pocatello Health Services, LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Dec 7, 2021
Last Updated
Dec 7, 2021

Practice Location

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

Authorized Official

Name
STEPHEN C. PETROVICH
Title
EVP, GENERAL COUNSEL
Phone
(615) 296-3594

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery - Sports MedicineSports Medicine
Durable Medical Equipment & Medical Supplies

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