Southeast Idaho Gastroenterology,pllc

NPI #1295754265 in Pocatello, Idaho

Provider Information

NPI Number
1295754265
Entity Type
Organization
Organization Name
Southeast Idaho Gastroenterology,pllc
Primary Specialty
Internal Medicine - Gastroenterology
Enumeration Date
Jul 19, 2006
Last Updated
Sep 25, 2012

Practice Location

Address
1151 HOSPITAL WAY BLDG A
State
Idaho
ZIP Code
83201-2763
Phone
(208) 232-6616

Authorized Official

Name
DARRYL BRUCE COOK, M.D.
Title
MEMBER
Phone
(208) 232-6616

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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