SOUTHEAST IDAHO GASTROENTEROLOGY,PLLC

POCATELLO, ID
NPI1295754265
Entity TypeOrganization
Authorized ContactDARRYL BRUCE COOK
Member
208-232-6616
Organization Subpart ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
Enumeration Date2006-07-19
Last Update Date2012-09-25
Business Address
SOUTHEAST IDAHO GASTROENTEROLOGY,PLLC
1151 HOSPITAL WAY BLDG A
POCATELLO, ID 83201-2763
Phone number: 208-232-6616
Mailing Address
SOUTHEAST IDAHO GASTROENTEROLOGY,PLLC
PO BOX 4788
POCATELLO, ID 83205-4788
Phone number: 208-232-6616
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