Spineidaho Pllc

NPI #1699940346 in Pocatello, Idaho

Provider Information

NPI Number: 1699940346
Entity Type: Organization
Organization Name: Spineidaho Pllc
Primary Specialty: Neurological Surgery
Enumeration Date: Apr 24, 2008
Last Updated: Dec 10, 2013

Practice Location

Address: 2240 E CENTER ST
City: Pocatello
State: Idaho
ZIP Code: 83201
Phone: (208) 233-8344

Authorized Official

Name: DR. WILLIAM SCOTT HUNEYCUTT, M.D.
Title: MEMBER
Phone: (208) 233-8344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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