Bannock Inpatient Services Pllc

NPI #1770948465 in Pocatello, Idaho

Provider Information

NPI Number
1770948465
Entity Type
Organization
Organization Name
Bannock Inpatient Services Pllc
Primary Specialty
Emergency Medicine
Enumeration Date
Dec 22, 2015
Last Updated
Dec 28, 2015

Practice Location

Address
777 HOSPITAL WAY
State
Idaho
ZIP Code
83201-5175
Phone
(469) 401-2386

Authorized Official

Name
MARK J SLEPIN, MD
Title
PRESIDENT
Phone
(469) 401-2386

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner
Emergency Medicine

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