John Fornarotto Pllc

NPI #1790838662 in Pocatello, Idaho

Provider Information

NPI Number: 1790838662
Entity Type: Organization
Organization Name: John Fornarotto Pllc
Primary Specialty: Ophthalmology
Enumeration Date: Jan 22, 2007
Last Updated: Nov 16, 2017

Practice Location

Address: 246 N 18TH AVE
City: Pocatello
State: Idaho
ZIP Code: 83201-3356
Phone: (208) 234-4100

Authorized Official

Name: DR. JOHN M FORNAROTTO, MD
Title: OWNER
Phone: (208) 234-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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