Portneuf Nephrology Center
NPI #1164413753 in Pocatello, Idaho
Provider Information
- NPI Number
- 1164413753
- Entity Type
- Organization
- Organization Name
- Portneuf Nephrology Center
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Nov 2, 2005
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MS. JAN M JACOBS
- Title
- ACCOUNTS RECEIVABLE MANAGER
- Phone
- (208) 367-3076
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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