Pocatello Pulmonary PC
NPI #1497766240 in Pocatello, Idaho
Provider Information
- NPI Number
- 1497766240
- Entity Type
- Organization
- Organization Name
- Pocatello Pulmonary PC
- Primary Specialty
- Internal Medicine - Pulmonary Disease
- Enumeration Date
- Aug 10, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- DR. CARY V JACKSON, M.D.
- Title
- PRESIDENT
- Phone
- (208) 233-5864
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Pulmonary Disease — Pulmonary Disease |
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