Pocatello Orthopaedics and Sports Medicine Institute PA

NPI #1265683445 in Pocatello, Idaho

Provider Information

NPI Number: 1265683445
Entity Type: Organization
Organization Name: Pocatello Orthopaedics and Sports Medicine Institute PA
Primary Specialty: Specialist
Enumeration Date: Oct 6, 2008
Last Updated: Oct 6, 2008

Practice Location

Address: 333 N 18TH AVE
Address 2: SUITE D-1
City: Pocatello
State: Idaho
ZIP Code: 83201-3358
Phone: (208) 233-2100

Authorized Official

Name: REBECCA J SMITH
Title: OFFICE MANAGER
Phone: (208) 233-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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