Southeast Idaho Gastroenterology, Pllc
NPI #1780867457 in Pocatello, Idaho
Provider Information
- NPI Number
- 1780867457
- Entity Type
- Organization
- Organization Name
- Southeast Idaho Gastroenterology, Pllc
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Dec 17, 2007
- Last Updated
- Dec 17, 2007
Practice Location
Authorized Official
- Name
- DEBBIE J FERREL
- Title
- PRACTICE MANAGER
- Phone
- (208) 232-6616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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