| NPI | 1659887511 |
|---|---|
| Doing Business As | POCATELLO WOMEN'S HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | JACOB ERICKSON CEO 208-785-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2019-12-16 |