Intermountain Neurosurgery, P.a.

NPI #1902835986 in Pocatello, Idaho

Provider Information

NPI Number
1902835986
Entity Type
Organization
Organization Name
Intermountain Neurosurgery, P.a.
Primary Specialty
Neurological Surgery
Enumeration Date
Jul 1, 2006
Last Updated
Mar 17, 2008

Practice Location

Address
500 S 11TH AVE
Address 2
SUITE 504
State
Idaho
ZIP Code
83201-4835
Phone
(208) 233-8344

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Neurological Surgery

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