Teton Spine, Pllc

NPI #1225432313 in Pocatello, Idaho

Provider Information

NPI Number
1225432313
Entity Type
Organization
Organization Name
Teton Spine, Pllc
Primary Specialty
Neurological Surgery
Enumeration Date
Oct 17, 2014
Last Updated
Oct 17, 2014

Practice Location

Address
777 HOSPITAL WAY
Address 2
SUITE 115
State
Idaho
ZIP Code
83201-5175
Phone
(208) 239-2260

Authorized Official

Name
JONATHAN T MORGAN, DO
Title
OWNER
Phone
(516) 424-5892

Specialties & Taxonomy Codes

Specialty
Neurological Surgery

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Organizations

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